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South Dakota rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $52.48 / $194.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $39.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $48.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $25.12 / $44.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74