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South Dakota rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Facilitymedian $39 · 10th–90th $29–$1550%20%10th90th$39Professionalmedian $26 · 10th–90th $17–$380%20%10th90th$26$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $38.02 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $53.70 / $154.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $38.02
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $25.70 / $38.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90