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South Carolina rates for HCPCS E2386

Power Wheelchair Accessory Foam Filled Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $77.77 / $98.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $144.00 / $189.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $114.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $106.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.67 / $81.66 / $223.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.04 / $158.04 / $158.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $47.59 / $84.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.96 / $69.78 / $118.53