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South Carolina rates for HCPCS E2368

Power Wheelchair Component Drive Wheel Motor Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.52 / $285.52 / $361.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.00 / $420.24 / $514.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.62 / $327.62 / $406.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.42 / $327.62 / $327.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.59 / $285.52 / $361.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.40 / $542.40 / $542.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.90 / $225.90 / $301.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.43 / $227.15 / $406.80