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South Carolina rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.65 / $30.41 / $38.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.43 / $70.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $43.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $45.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.67 / $31.93 / $81.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.28 / $57.28 / $57.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $19.25 / $34.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $22.39 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $27.28 / $45.82