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South Carolina rates for HCPCS E2628

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.52 / $489.52 / $650.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $750.00 / $1,067.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $369.39 / $797.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.52 / $640.58 / $1,093.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.34 / $802.34 / $802.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.76 / $435.42 / $548.74