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North Carolina rates for HCPCS E2387

Power wheelchair accessory, foam filled caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $45.23 / $45.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $48.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.25 / $39.01 / $67.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.86 / $45.23 / $66.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $70.20 / $70.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.64 / $37.58 / $61.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $280.00 / $280.00