go back

South Carolina rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $31.62 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $22.91 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $41.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $25.12 / $48.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $17.38 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $14.13 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.78 / $23.99