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South Carolina rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $467.74 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $575.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $389.05 / $831.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $257.04 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $223.87 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $407.38