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South Dakota rates for HCPCS E1150

Wheelchair, detachable arms, desk or full-length swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.39 / $779.10 / $982.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.00 / $134.00 / $938.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.51 / $1,241.25 / $1,551.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.97 / $1,316.68 / $5,113.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.99 / $771.97 / $858.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.31 / $117.02 / $125.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.01 / $239.58 / $1,216.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.67 / $771.97 / $934.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.42 / $957.42 / $957.42