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South Carolina rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $46.63 / $60.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.90 / $44.90 / $44.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $60.00 / $89.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $59.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $74.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.26 / $60.01 / $113.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $64.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $40.79 / $54.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $41.49 / $53.66