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North Carolina rates for HCPCS E2391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $15.02 / $15.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $15.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $13.81 / $23.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.16 / $15.02 / $20.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $12.31 / $20.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $99.12 / $99.12