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South Carolina rates for HCPCS E2617

Custom Fabricated Wheelchair Back Cushion Any Size Including Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $336.05 / $336.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.00 / $785.00 / $858.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $446.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $413.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $336.05 / $403.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.50 / $673.50 / $673.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $70.00