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South Carolina rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $19.96 / $25.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $31.20 / $45.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $22.73 / $25.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $29.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $23.95 / $49.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $29.95 / $29.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $17.39 / $23.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $17.02 / $22.46