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North Carolina rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $37.22 / $37.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $40.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.45 / $33.36 / $58.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.64 / $37.22 / $53.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.57 / $56.57 / $56.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $31.05 / $58.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $239.48 / $239.48