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South Carolina rates for HCPCS K0815

Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $5,623.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $2,398.83 / $3,019.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $1,096.48 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $302.00 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,513.56 / $2,570.40