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South Dakota rates for HCPCS E2219

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $34.58 / $45.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $41.89 / $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
$33.96 / $58.44 / $228.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.12 / $37.97 / $44.04
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 / $27.52 / $44.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $44.73 / $44.73