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South Carolina rates for HCPCS E2391

Power Wheelchair Accessory Solid (Rubber/Plastic)Caster Tire (Removable) Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $11.87 / $15.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $19.69 / $28.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.14 / $13.81 / $16.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $18.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $12.46 / $30.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $7.64 / $13.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $10.65 / $16.42