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South Dakota rates for HCPCS E2225

Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $21.33 / $21.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $19.14 / $26.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $26.89 / $33.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.61 / $28.04 / $104.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $17.96 / $21.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.67 / $2.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $5.05 / $27.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $19.07 / $26.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $21.89 / $21.89