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South Carolina rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.85 / $913.85 / $1,225.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.00 / $1,300.00 / $1,638.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.32 / $397.32 / $397.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,232.30 / $2,051.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.89 / $913.85 / $1,225.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.00 / $1,001.00 / $1,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.89 / $624.44 / $891.80