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South Carolina rates for HCPCS E2612

General Use Wheelchair Back Cushion Width 22 Inches Or Greater Any Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.46 / $225.35 / $285.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.79 / $294.79 / $294.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $402.00 / $545.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $327.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $326.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.88 / $270.42 / $627.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.67 / $443.67 / $443.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $197.09 / $262.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.13 / $202.18 / $332.75