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South Carolina rates for HCPCS E2377

Power Wheelchair Accessory Expandable Controller Including All Related Electronics And Mounting Hardware Upgrade Provided At Initial Issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.20 / $310.47 / $392.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.00 / $400.67 / $490.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $393.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $382.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.47 / $337.05 / $560.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.00 / $510.00 / $510.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $159.30 / $283.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.08 / $278.39 / $385.04