go back

South Carolina rates for HCPCS E2394

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $41.12 / $52.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $69.34 / $96.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $46.18 / $60.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $60.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $43.18 / $113.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $80.59 / $80.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $25.59 / $45.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $38.54 / $60.44