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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
$775.11 / $1,005.70 / $1,005.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.20 / $428.20 / $933.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.50 / $1,128.68 / $1,396.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.39 / $1,369.07 / $5,087.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.01 / $768.02 / $854.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.63 / $119.82 / $119.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.70 / $129.19 / $246.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.67 / $768.02 / $1,143.95