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South Dakota rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.88 / $471.23 / $471.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $420.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.59 / $592.50 / $740.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.04 / $955.93 / $2,290.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.57 / $345.61 / $384.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.68 / $56.14 / $56.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.99 / $107.28 / $583.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.30 / $240.35 / $384.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.36 / $459.36 / $459.36