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South Carolina rates for HCPCS E0955

Wheelchair Accessory Headrest Cushioned Any Type Including Fixed Mounting Hardware Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $104.34 / $132.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $164.80 / $201.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.57 / $129.12 / $153.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $131.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.33 / $104.34 / $194.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.00 / $182.00 / $182.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $81.20 / $144.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $81.55 / $169.83