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North Carolina rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $645.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $338.84 / $338.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $389.05 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $194.98 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $489.78
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $3,162.28 / $3,162.28