go back

South Carolina rates for HCPCS E2201

Manual Wheelchair Accessory Nonstandard Seat Frame Width Greater Than Or Equal To 20 Inches And Less Than 24 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $228.89 / $289.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.86 / $224.86 / $299.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.00 / $408.00 / $555.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.51 / $243.42 / $345.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $325.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.18 / $289.70 / $642.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.00 / $336.00 / $336.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $188.78 / $251.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.63 / $197.90 / $293.82