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South Dakota rates for HCPCS E0955

Wheelchair Accessory Headrest Cushioned Any Type Including Fixed Mounting Hardware Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $147.84 / $175.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.69 / $131.69 / $167.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.06 / $202.50 / $253.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.34 / $256.19 / $911.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.11 / $133.88 / $208.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $23.85 / $23.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.69 / $45.05 / $246.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $93.72 / $208.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.12 / $195.12 / $195.12