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South Dakota rates for HCPCS E1235

Wheelchair Pediatric Size Rigid Adjustable With Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.78 / $1,774.15 / $2,396.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.60 / $192.60 / $2,137.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,007.50 / $3,007.50 / $3,759.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.52 / $4,861.17 / $11,644.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.98 / $1,757.83 / $1,954.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.38 / $285.48 / $285.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.64 / $545.58 / $2,966.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.99 / $1,757.83 / $2,618.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.77 / $2,335.77 / $2,335.77