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South Carolina rates for HCPCS E1200

Amputee Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.42 / $570.42 / $732.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $800.00 / $1,008.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.87 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $746.73 / $746.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.82 / $570.42 / $732.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $575.00 / $575.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.49 / $429.62 / $596.96