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South Dakota rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.17 / $2,858.11 / $2,858.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $2,549.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,212.27 / $3,588.75 / $4,485.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $5,798.31 / $13,890.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.08 / $2,096.62 / $2,331.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.14 / $340.53 / $340.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.53 / $650.75 / $3,538.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.96 / $1,520.06 / $2,538.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.13 / $2,786.13 / $2,786.13