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South Carolina rates for HCPCS E2369

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.35 / $261.35 / $330.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.31 / $369.31 / $369.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.95 / $332.93 / $357.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $332.93 / $332.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.10 / $261.35 / $330.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.44 / $472.44 / $472.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $147.56 / $262.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.71 / $228.23 / $377.95