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South Dakota rates for HCPCS E0953

Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $74.61 / $93.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.36 / $79.36 / $120.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $120.37 / $138.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.06 / $126.09 / $433.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.81 / $77.93 / $95.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.95 / $12.03 / $12.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $22.73 / $124.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $56.90 / $95.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.49 / $98.49 / $98.49