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South Dakota rates for HCPCS E2226

Manual Wheelchair Accessory Caster Fork Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $44.23 / $44.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.64 / $40.22 / $57.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $57.24 / $67.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $59.96 / $219.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $37.92 / $46.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.68 / $5.72 / $5.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $10.80 / $59.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $29.05 / $46.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.84 / $46.84 / $46.84