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South Dakota rates for HCPCS E0967

Manual wheelchair accessory, hand rim with projections, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.70 / $81.20 / $81.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $99.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $103.02 / $127.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.67 / $169.06 / $407.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.56 / $68.47 / $79.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $9.93 / $9.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $18.98 / $103.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $43.54 / $79.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $81.23 / $81.23