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South Dakota rates for HCPCS E0984

Manual Wheelchair Accessory Power Add-On To Convert Manual Wheelchair To Motorized Wheelchair Tiller Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.69 / $2,464.38 / $2,464.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.62 / $1,639.62 / $2,198.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.68 / $2,962.50 / $3,703.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.93 / $3,083.73 / $11,977.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.32 / $1,807.71 / $2,010.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.15 / $293.62 / $293.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.76 / $561.11 / $3,051.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.03 / $1,807.71 / $2,010.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,402.37 / $2,402.37 / $2,402.37