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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
$21.88 / $30.90 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $51.29 / $56.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $53.70 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $20.89 / $38.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $46.77 / $51.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.44 / $46.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69