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South Carolina rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.92 / $477.92 / $604.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.00 / $705.55 / $863.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $590.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $407.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.64 / $477.92 / $604.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.39 / $899.39 / $899.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.45 / $280.91 / $499.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.22 / $361.84 / $674.54