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South Carolina rates for HCPCS E2387

Power Wheelchair Accessory Foam Filled Caster Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.61 / $35.84 / $45.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $36.92 / $72.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $51.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $51.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.07 / $37.63 / $100.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $70.20 / $70.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $22.21 / $39.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.65 / $32.15 / $53.15