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South Dakota rates for HCPCS E2294

Seat, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.83 / $275.70 / $275.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.63 / $226.63 / $226.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $447.56 / $725.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.90 / $357.90 / $357.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.39 / $342.39 / $342.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.90 / $357.90 / $357.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $298.00 / $298.00