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South Carolina rates for HCPCS E2376

Power Wheelchair Accessory Expandable Controller Including All Related Electronics And Mounting Hardware Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.32 / $843.32 / $1,067.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $839.62 / $1,008.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $1,061.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $642.26 / $642.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.32 / $909.83 / $1,512.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.38 / $1,409.38 / $1,409.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.70 / $440.23 / $782.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.54 / $763.56 / $1,118.94