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South Carolina rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $32.13 / $40.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $43.07 / $62.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.42 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $49.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.06 / $34.86 / $74.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $52.91 / $52.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $21.43 / $38.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $28.82 / $42.33