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South Dakota rates for HCPCS E1087

High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.55 / $1,632.22 / $1,632.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.00 / $1,456.00 / $1,456.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.25 / $2,051.25 / $2,564.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.79 / $2,042.45 / $7,933.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.63 / $1,197.25 / $1,331.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $194.47 / $194.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.90 / $202.10 / $384.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.78 / $744.02 / $1,331.75