go back

South Dakota rates for HCPCS E1012

Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.21 / $1,247.03 / $1,247.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.90 / $810.90 / $1,304.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.25 / $1,586.96 / $1,964.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.74 / $1,573.74 / $7,110.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.75 / $1,097.50 / $1,186.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.12 / $150.28 / $150.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.12 / $283.38 / $1,554.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.16 / $741.65 / $1,186.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.58 / $1,229.58 / $1,229.58