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South Dakota rates for HCPCS E0969

Narrowing Device Wheelchair (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.83 / $202.04 / $202.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.41 / $134.41 / $240.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.88 / $256.41 / $317.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.56 / $273.93 / $997.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.19 / $154.66 / $168.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $23.84 / $23.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $45.53 / $250.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.66 / $103.03 / $168.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.96 / $196.96 / $196.96