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South Dakota rates for HCPCS E1228

Special back height for wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.68 / $361.52 / $361.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $322.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.25 / $390.11 / $482.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $531.03 / $1,757.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.61 / $265.22 / $294.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.82 / $43.08 / $43.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $82.32 / $447.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.22 / $192.25 / $369.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.44 / $352.44 / $352.44