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South Carolina rates for HCPCS E2222

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

Facilitymedian $13 · 10th–90th $1–$210%10%10th90th$13Professionalmedian $15 · 10th–90th $13–$190%20%10th90th$15$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
$12.88 / $15.14 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $25.70 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $30.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $36.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $13.18 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $9.33 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.80 / $19.05