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South Dakota rates for HCPCS E1089

High-strength lightweight wheelchair, fixed-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,089.30 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,778.28 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,318.26