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South Dakota rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.52 / $919.37 / $919.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $922.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.22 / $1,188.75 / $1,485.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.98 / $1,651.38 / $5,025.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.17 / $758.33 / $843.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.07 / $109.53 / $120.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.83 / $127.61 / $243.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.01 / $471.40 / $843.72