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South Dakota rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.16 / $1,024.42 / $1,024.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $1,027.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.00 / $1,242.30 / $1,537.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.81 / $1,564.01 / $5,600.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.59 / $845.18 / $939.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.50 / $122.06 / $122.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.35 / $142.19 / $271.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.29 / $612.62 / $939.96