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South Dakota rates for HCPCS E2218

Manual wheelchair accessory, foam propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.24 / $39.07 / $51.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.33 / $47.33 / $61.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.50 / $68.18 / $84.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.20 / $107.05 / $258.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $42.92 / $51.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $7.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $13.15 / $64.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $30.04 / $58.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.54 / $50.54 / $50.54