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South Carolina rates for HCPCS E1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $691.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $371.54 / $660.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $398.11 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $575.44