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South Carolina rates for HCPCS E2381

Power Wheelchair Accessory Pneumatic Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $42.03 / $53.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $36.92 / $85.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.35 / $48.02 / $60.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $63.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.10 / $44.13 / $113.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.98 / $79.98 / $79.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $26.49 / $47.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $38.26 / $59.99