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South Dakota rates for HCPCS E1092

Wide heavy-duty wheel chair, detachable arms (desk or full-length), swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,148.15 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $1,995.26 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $630.96 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,479.11 / $1,479.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,513.56