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South Carolina rates for HCPCS E2221

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

Facilitymedian $17 · 10th–90th $2–$260%10%10th90th$17Professionalmedian $19 · 10th–90th $16–$230%20%10th90th$19$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $27.54 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $37.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.05 / $43.65
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $15.49 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $11.48 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $16.60 / $22.91