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South Carolina rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.06 / $489.06 / $597.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.00 / $1,450.00 / $1,828.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.65 / $654.75 / $766.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $654.00 / $654.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.38 / $511.16 / $1,073.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,120.00 / $1,120.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.32 / $96.43 / $964.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.19 / $397.78 / $668.02