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Heavy-Duty Wheelchair, Fixed Arms, Elevating Legrest

South Dakota rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Rates data updated July 2026.

How much does Heavy-Duty Wheelchair, Fixed Arms, Elevating Legrest cost?

$1,380

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $912 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,380$1,148 to $1,585
FacilityA hospital or hospital-owned outpatient department$912$603 to $1,950

How much rates vary

Facilitymedian $912 · 10th to 90th $83 to $7,586Professionalmedian $1,380 · 10th to 90th $589 to $1,698
$100$200$500$1K$2K$5Kfacility $912professional $1,380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,949.84
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,412.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$1,659.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82

Where South Dakota sits

The same service costs 4.2 times more in Kansas than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 3rd of 51

$1,380

KS $1,950UT $468

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.