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South Dakota rates for HCPCS E1086

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.11 / $733.15 / $733.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.50 / $1,059.38 / $1,076.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.60 / $1,564.84 / $4,338.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.86 / $879.63 / $982.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.20 / $121.39 / $121.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.39 / $136.93 / $1,369.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.35 / $614.29 / $982.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.00 / $1,140.00 / $1,140.00