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South Carolina rates for HCPCS E2221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $17.77 / $22.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $27.60 / $40.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.87 / $20.72 / $22.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $27.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.21 / $21.32 / $44.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $26.83 / $26.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $15.44 / $20.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $15.28 / $22.18