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South Carolina rates for HCPCS E1295

Heavy Duty Wheelchair Fixed Full Length Arms Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.34 / $796.34 / $1,080.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.00 / $1,100.00 / $1,386.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.07 / $886.07 / $1,672.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.63 / $796.34 / $1,080.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.00 / $903.00 / $903.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.13 / $599.69 / $833.17