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South Dakota rates for HCPCS E1195

Heavy Duty Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.80 / $1,609.13 / $1,609.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.28 / $1,445.28 / $1,445.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.75 / $1,746.04 / $2,160.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.51 / $2,382.98 / $7,874.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.32 / $1,188.63 / $1,322.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.40 / $191.71 / $192.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.51 / $199.99 / $381.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.38 / $861.71 / $1,770.71