go back

South Carolina rates for HCPCS E2222

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire With Integrated Wheel Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.93 / $18.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $27.60 / $35.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $17.30 / $19.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $30.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.11 / $15.94 / $36.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $22.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $13.07 / $17.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.25 / $18.95