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South Carolina rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Facilitymedian $11 · 10th–90th $1–$170%10%10th90th$11Professionalmedian $12 · 10th–90th $10–$160%20%10th90th$12$1.0$2.0$5.0$10.0$20.0$50.0

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
$10.96 / $12.02 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.80 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $22.39
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $12.59 / $30.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $7.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $7.59 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $8.51 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.75 / $18.62