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North Carolina rates for HCPCS E2222

Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.89 / $18.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $18.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $17.30 / $38.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $18.89 / $22.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $22.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.82 / $22.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $124.16 / $124.16