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South Dakota rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.65 / $38.74 / $38.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.00 / $34.00 / $51.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.75 / $51.06 / $57.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.36 / $53.49 / $185.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $31.55 / $37.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $5.38 / $5.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $9.27 / $52.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $23.68 / $50.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.78 / $41.78 / $41.78