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South Dakota rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.95 / $1,842.40 / $2,488.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $2,219.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.38 / $3,123.75 / $3,904.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $5,048.18 / $12,092.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.25 / $1,825.30 / $2,030.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.51 / $296.47 / $296.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.60 / $566.54 / $3,080.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.68 / $1,243.16 / $1,890.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,425.67 / $2,425.67 / $2,425.67