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South Dakota rates for HCPCS E1232

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.60 / $2,758.78 / $2,758.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.64 / $1,219.64 / $2,460.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.68 / $3,465.00 / $4,331.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.80 / $5,596.72 / $13,407.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.07 / $2,023.76 / $2,250.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.30 / $328.68 / $328.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.72 / $628.11 / $3,415.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.61 / $2,023.76 / $2,817.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,689.20 / $2,689.20 / $2,689.20