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South Dakota rates for HCPCS E1280

Heavy-duty wheelchair, detachable arms (desk or full-length) elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $2,137.96 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $1,513.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,548.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89