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South Dakota rates for HCPCS E1224

Wheelchair with detachable arms, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $1,318.26 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $398.11 / $794.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $933.25 / $933.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $954.99