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South Dakota rates for HCPCS E2213

Manual Wheelchair Accessory Insert For Pneumatic Propulsion Tire (Removeable) Any Type Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $27.42 / $33.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.56 / $30.56 / $44.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.50 / $44.24 / $50.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.56 / $46.34 / $167.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $28.78 / $35.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $4.44 / $4.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $8.39 / $45.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $22.43 / $35.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $36.20 / $36.20