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South Carolina rates for HCPCS E2624

Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $446.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $269.15 / $501.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $162.18 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $165.96 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $281.84