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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $25.70 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $17.38 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.38 / $30.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.78 / $36.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $13.18 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $11.48 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.49 / $19.05