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South Carolina rates for HCPCS K0005

Ultralightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.55 / $1,426.01 / $1,809.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.00 / $2,400.00 / $3,108.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.46 / $1,460.50 / $1,872.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $1,916.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.01 / $1,774.81 / $3,185.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,664.00 / $1,664.00 / $1,917.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.40 / $133.40 / $1,334.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.57 / $1,186.66 / $1,455.90