go back

South Carolina rates for HCPCS E1399

Durable Medical Equipment Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $14.90 / $14.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $83.20 / $86.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $25.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $149.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $62.00 / $62.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00