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South Carolina rates for HCPCS E2387

Power wheelchair accessory, foam filled caster tire, any size, replacement only, each

Facilitymedian $34 · 10th–90th $3–$510%10%10th90th$34Professionalmedian $38 · 10th–90th $31–$460%20%10th90th$38$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.02 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $67.61
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.02 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $25.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $22.39 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $25.70 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $60.26