go back

North Carolina rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.44 / $842.85 / $842.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $1,327.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.14 / $842.85 / $1,011.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.09 / $1,073.09 / $1,073.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.20 / $639.50 / $1,064.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,719.94 / $5,719.94