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North Carolina rates for HCPCS E2395

Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $38.49 / $38.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $40.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $34.40 / $61.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $38.49 / $54.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.28 / $57.28 / $57.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $22.41 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $30.00 / $52.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $247.19 / $247.19