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North Carolina rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $35.02 / $35.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.57 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $32.79 / $58.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $35.02 / $42.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.93 / $44.93 / $44.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $25.62 / $46.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $238.26 / $238.26