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South Dakota rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $29.51 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $41.69 / $162.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $17.38 / $30.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $42.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.62 / $35.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67