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South Dakota rates for HCPCS E1084

Hemi-wheelchair, detachable arms desk or full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.63 / $1,265.46 / $1,265.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $1,128.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,363.50 / $1,687.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.24 / $1,752.80 / $6,150.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.22 / $928.44 / $1,032.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.37 / $150.77 / $150.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.13 / $156.68 / $298.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.70 / $928.44 / $1,292.65