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South Dakota rates for HCPCS E1180

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.86 / $1,307.27 / $1,307.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $1,165.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.20 / $1,642.50 / $2,053.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.91 / $1,774.64 / $6,352.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.48 / $958.95 / $1,066.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.49 / $155.75 / $155.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.30 / $161.86 / $307.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.88 / $695.23 / $1,066.68