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South Dakota rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Facilitymedian $692 · 10th–90th $331–$2,3990%20%10th90th$692Professionalmedian $490 · 10th–90th $295–$6610%20%10th90th$490$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $416.87 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $588.84 / $724.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $707.95 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $660.69 / $676.08
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $436.52 / $588.84
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54