go back

South Carolina rates for HCPCS E0969

Narrowing Device Wheelchair (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.81 / $120.81 / $153.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $170.40 / $249.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.33 / $134.41 / $134.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.26 / $134.41 / $162.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.81 / $144.97 / $269.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $141.00 / $162.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.34 / $98.58 / $123.35