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South Carolina rates for HCPCS E0953

Wheelchair Accessory Lateral Thigh Or Knee Support Any Type Including Fixed Mounting Hardware Each (Reinstated Code) Old Description: Pneumatic Tire Each (Not Valid For Medicare) (Deleted 12/31/05)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.02 / $53.66 / $67.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $99.69 / $131.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $64.23 / $65.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $111.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.02 / $63.45 / $146.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $67.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $44.83 / $59.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $48.14 / $76.50