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South Dakota rates for HCPCS E0990

Wheelchair accessory, elevating legrest, complete assembly, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $79.58 / $87.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.92 / $76.92 / $116.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.50 / $116.70 / $125.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.32 / $200.54 / $411.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.59 / $75.68 / $112.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $12.51 / $13.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $24.40 / $120.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $64.37 / $112.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.48 / $95.48 / $95.48