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South Dakota rates for HCPCS E2225

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

Facilitymedian $28 · 10th–90th $14–$1050%10%20%10th90th$28Professionalmedian $19 · 10th–90th $11–$280%20%10th90th$19$10.0$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
$15.85 / $15.85 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $33.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $28.18 / $104.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.59 / $21.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.92
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $17.78 / $26.92
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88