go back

South Carolina rates for HCPCS E2604

Skin protection wheelchair seat cushion, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $103.32 / $130.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $235.75 / $307.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $151.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.71 / $123.98 / $315.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.55 / $331.55 / $331.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $87.89 / $117.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $93.96 / $153.44