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South Dakota rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $45.88 / $45.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $54.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.60 / $75.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.59 / $94.75 / $228.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $37.97 / $45.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $6.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $11.64 / $56.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $26.59 / $45.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $44.73 / $44.73