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South Dakota rates for HCPCS E2295

Manual Wheelchair Accessory For Pediatric Size Wheelchair Dynamic Seating

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.28 / $59.28 / $59.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.69 / $526.69 / $526.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.69 / $526.69 / $526.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.18 / $100.18 / $162.43