go back

South Carolina rates for HCPCS E1234

Wheelchair Pediatric Size Tilt-N-Space Folding Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.60 / $1,487.87 / $1,888.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.00 / $1,606.80 / $1,947.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,953.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.01 / $1,208.78 / $1,208.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.82 / $1,487.87 / $1,888.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.00 / $1,736.00 / $1,736.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.39 / $782.95 / $1,391.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.94 / $1,032.97 / $1,519.05