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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
$1,179.99 / $1,634.64 / $1,634.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.04 / $860.04 / $1,478.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.19 / $2,081.25 / $2,601.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.62 / $2,170.13 / $8,057.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.14 / $1,216.27 / $1,352.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.94 / $194.76 / $196.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.94 / $204.59 / $390.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.10 / $881.67 / $1,352.60