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South Carolina rates for HCPCS E1172

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.22 / $647.22 / $825.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $900.00 / $1,134.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.06 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.59 / $840.94 / $840.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.67 / $647.22 / $825.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $700.00 / $700.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.28 / $483.53 / $671.99