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South Dakota rates for HCPCS E1227

Special Height Arms For Wheelchair (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.29 / $357.97 / $357.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.16 / $238.16 / $426.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.13 / $420.11 / $477.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.95 / $485.67 / $1,682.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.30 / $262.58 / $292.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.47 / $42.66 / $42.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $75.70 / $443.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.74 / $191.82 / $292.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.96 / $348.96 / $348.96