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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
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.71 / $135.71 / $135.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.71 / $135.71 / $135.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00