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South Dakota rates for HCPCS E2220

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

Facilitymedian $44 · 10th–90th $23–$1620%20%10th90th$44Professionalmedian $29 · 10th–90th $17–$420%20%10th90th$29$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $25.12 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.62 / $30.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $42.66
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $26.92 / $39.81
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67