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South Carolina rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.84 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $60.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $30.90 / $79.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $20.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $18.62 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $22.91 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $27.54 / $45.71