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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
$30.20 / $34.67 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.15 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $67.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $38.02 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $25.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $22.39 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $25.70 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $33.88 / $53.70