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South Dakota rates for HCPCS E2291

Back, planar, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.01 / $238.98 / $238.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.19 / $326.19 / $528.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.05 / $562.05 / $562.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.33 / $540.33 / $540.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.05 / $562.05 / $562.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $468.00 / $468.00