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South Dakota rates for HCPCS E2212

Manual Wheelchair Accessory Tube For Pneumatic Propulsion Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $7.02 / $7.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.37 / $6.37 / $8.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.88 / $10.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $9.31 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $5.85 / $7.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.74 / $9.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $4.47 / $7.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $7.26 / $7.26