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South Carolina rates for HCPCS E1190

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.57 / $767.57 / $974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.00 / $1,050.00 / $1,323.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.32 / $397.32 / $397.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $1,140.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.80 / $767.57 / $974.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.24 / $577.88 / $803.10