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North Carolina rates for HCPCS E2369

Power Wheelchair Component Drive Wheel Gear Box Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.15 / $330.72 / $330.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.13 / $332.93 / $332.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $332.93 / $656.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.10 / $330.72 / $449.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.44 / $472.44 / $472.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.86 / $258.76 / $449.94
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.46 / $1,933.58 / $1,933.58