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South Dakota rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.28 / $1,295.63 / $1,295.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,359.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.50 / $1,643.78 / $2,034.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.60 / $2,628.43 / $7,407.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.04 / $1,118.09 / $1,327.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.91 / $154.36 / $154.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $293.32 / $1,604.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.16 / $750.99 / $1,327.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.97 / $1,262.97 / $1,262.97