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South Dakota rates for HCPCS E1020

Residual limb support system for wheelchair, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $180.04 / $217.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.46 / $126.46 / $202.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.17 / $251.25 / $314.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.29 / $493.31 / $1,102.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $161.68 / $263.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $29.05 / $29.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $54.84 / $300.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.16 / $161.68 / $263.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.69 / $237.69 / $237.69