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South Dakota rates for HCPCS E2293

Back Contoured For Pediatric Size Wheelchair Including Fixed Attaching Hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.99 / $412.99 / $446.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.99 / $754.99 / $1,224.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.60 / $236.60 / $236.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.03 / $227.03 / $227.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.60 / $236.60 / $236.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.00 / $197.00 / $197.00