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South Dakota rates for HCPCS E1130

Standard Wheelchair Fixed Full Length Arms Fixed Or Swing Away Detachable Footrests (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.90 / $300.58 / $385.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.25 / $614.05 / $623.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.74 / $823.62 / $2,283.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.19 / $462.96 / $517.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.60 / $70.22 / $70.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.22 / $79.20 / $640.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.48 / $417.27 / $517.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.50 / $533.50 / $533.50