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South Dakota rates for HCPCS E2211

Manual Wheelchair Accessory Pneumatic Propulsion Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $34.57 / $37.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.19 / $37.19 / $51.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $51.05 / $56.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.20 / $58.42 / $203.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $33.76 / $41.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $5.07 / $5.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $9.86 / $52.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $33.76 / $41.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $41.77 / $41.77