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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
$371.54 / $407.38 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98