go back

South Carolina rates for HCPCS E2214

Manual Wheelchair Accessory Pneumatic Caster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.11 / $21.11 / $26.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $33.60 / $49.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.90 / $25.90 / $26.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $25.90 / $34.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.22 / $25.33 / $52.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.14 / $32.14 / $32.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $18.29 / $24.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $19.26 / $27.06