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South Carolina rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $87.10 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $60.26 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $91.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $158.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $89.13 / $114.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $81.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $12.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $10.96 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $13.49 / $104.71