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South Dakota rates for HCPCS E1089

High Strength Lightweight Wheelchair Fixed Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.99 / $973.04 / $973.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.50 / $1,543.13 / $1,567.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.44 / $2,076.89 / $5,757.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.07 / $1,167.46 / $1,304.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.69 / $176.94 / $176.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.94 / $199.56 / $199.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.14 / $1,167.46 / $1,388.94