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South Dakota rates for HCPCS E1295

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.10 / $1,566.84 / $1,566.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,397.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.50 / $1,689.23 / $2,090.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.71 / $1,960.59 / $7,614.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.76 / $1,149.52 / $1,278.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.22 / $186.68 / $186.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.83 / $325.47 / $1,939.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.80 / $833.17 / $1,278.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.39 / $1,527.39 / $1,527.39