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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
$1,253.63 / $1,641.24 / $1,641.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.03 / $511.03 / $1,510.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.50 / $1,825.58 / $2,259.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.39 / $2,118.63 / $8,228.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.05 / $1,242.10 / $1,381.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.59 / $195.55 / $201.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.14 / $385.52 / $2,032.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.02 / $863.42 / $1,850.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.93 / $1,599.93 / $1,599.93