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South Dakota rates for HCPCS E0988

Manual wheelchair accessory, lever-activated, wheel drive, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,859.15 / $3,861.57 / $3,861.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.13 / $2,569.13 / $2,569.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,848.75 / $4,897.24 / $6,060.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.07 / $418.25 / $7,834.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.63 / $347.77 / $2,956.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.55 / $460.08 / $460.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.08 / $845.37 / $4,781.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.80 / $347.77 / $2,812.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,764.25 / $3,764.25 / $3,764.25