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South Carolina rates for HCPCS E2224

Manual Wheelchair Accessory Propulsion Wheel Excludes Tire Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.08 / $62.14 / $81.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $108.00 / $140.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.43 / $73.04 / $81.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.08 / $73.04 / $95.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.63 / $67.58 / $143.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.34 / $100.34 / $100.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $55.42 / $73.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $43.87 / $73.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.34 / $52.97 / $73.70