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South Carolina rates for HCPCS E1171

Amputee Wheelchair Fixed Full Length Arms Without Footrests Or Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.48 / $525.48 / $666.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $750.00 / $945.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.81 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.10 / $687.90 / $687.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.58 / $525.48 / $666.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.00 / $602.00 / $602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.04 / $395.79 / $549.97