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South Dakota rates for HCPCS E1090

High-strength lightweight wheelchair, detachable arms, desk or full-length, swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.52 / $1,003.26 / $1,003.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.90 / $360.90 / $360.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.75 / $1,542.19 / $1,566.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.73 / $2,141.36 / $5,936.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.49 / $1,203.71 / $1,344.99
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 / $1,170.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.58 / $1,084.90 / $1,344.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.00 / $975.00 / $975.00