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North Carolina rates for HCPCS E2388

Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $40.65 / $40.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $41.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $67.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $40.65 / $50.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $52.91 / $52.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $29.92 / $50.39
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.18 / $275.26 / $275.26