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South Carolina rates for HCPCS E2204

Manual Wheelchair Accessory Nonstandard Seat Frame Depth 22 To 25 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.65 / $524.69 / $664.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $661.89 / $1,099.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $744.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $763.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.38 / $664.08 / $1,401.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.00 / $732.00 / $732.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.99 / $442.48 / $589.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $470.69 / $665.35