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South Dakota rates for HCPCS E1238

Wheelchair Pediatric Size Folding Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.20 / $2,113.92 / $2,113.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.26 / $975.26 / $1,885.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.69 / $2,655.00 / $3,318.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.97 / $4,288.64 / $10,273.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.78 / $1,550.75 / $1,724.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.42 / $251.87 / $251.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.11 / $481.30 / $2,617.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.80 / $1,550.75 / $1,877.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.73 / $2,060.73 / $2,060.73