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South Carolina rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,479.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $588.84 / $776.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $446.68 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $602.56