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South Dakota rates for HCPCS E1017

Heavy-duty shock absorber for heavy-duty or extra heavy-duty manual wheelchair, each

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $83.18 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20