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South Carolina rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.29 / $637.29 / $842.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.00 / $1,177.06 / $1,416.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $1,047.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.29 / $822.87 / $1,451.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.09 / $1,073.09 / $1,073.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.20 / $558.79 / $745.07