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North Carolina rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.21 / $604.88 / $604.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $1,167.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.64 / $604.88 / $851.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.39 / $899.39 / $899.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.45 / $458.69 / $681.19
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.72 / $3,065.51 / $3,065.51