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Width Adjustment Package for Pediatric Wheelchair

South Dakota rates for HCPCS E1011

Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)

Rates data updated October 2026.

How much does Width Adjustment Package for Pediatric Wheelchair cost?

$407

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $977 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$407 to $457
FacilityA hospital or hospital-owned outpatient department$977$977 to $977

How much rates vary

Facilitymedian $977 · 10th to 90th $575 to $1,585Professionalmedian $407 · 10th to 90th $372 to $575
$500$1Kfacility $977professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$426.58
Typical High
$457.09
Medica
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$977.24
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Wellmark
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
RR · Rental
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where South Dakota sits

The same service costs 14.8 times more in Kansas than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 34th of 51

$407

KS $1,047AR $70.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.