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South Dakota rates for HCPCS E1190

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.18 / $1,510.19 / $1,510.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.18 / $1,347.18 / $1,347.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.50 / $1,897.50 / $2,371.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.57 / $1,919.72 / $7,340.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $1,107.88 / $1,232.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.61 / $179.93 / $179.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.53 / $186.98 / $355.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.16 / $770.19 / $1,650.41