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South Carolina rates for HCPCS E1089

High Strength Lightweight Wheelchair Fixed Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.54 / $580.54 / $835.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.00 / $1,175.00 / $1,481.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.32 / $397.32 / $397.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.40 / $894.40 / $1,234.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.16 / $580.54 / $865.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.00 / $903.00 / $903.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.60 / $638.89 / $914.05