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South Carolina rates for HCPCS E2390

Power Wheelchair Accessory Solid (Rubber/Plastic)Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.08 / $27.68 / $35.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $37.82 / $53.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.14 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $43.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.45 / $30.17 / $63.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.93 / $44.93 / $44.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $18.55 / $32.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $24.82 / $35.94