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South Dakota rates for HCPCS E1296

Special wheelchair seat height from floor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.58 / $634.22 / $634.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $755.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.88 / $780.60 / $966.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.45 / $834.66 / $3,019.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.54 / $485.49 / $571.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.83 / $76.79 / $76.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $146.69 / $785.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.08 / $342.70 / $571.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.24 / $618.24 / $618.24