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South Dakota rates for HCPCS E2215

Manual Wheelchair Accessory Tube For Pneumatic Ca Ster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $11.62 / $11.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $14.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $14.77 / $18.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $15.24 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $9.73 / $11.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.76 / $15.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $10.38 / $14.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $11.87 / $11.87