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South Dakota rates for HCPCS E2311

Power wheelchair accessory, electronic connection between wheelchair controller and 2 or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.40 / $1,881.25 / $2,486.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $2,677.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.00 / $3,120.90 / $3,862.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.14 / $5,154.63 / $14,590.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.65 / $2,222.60 / $2,600.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.27 / $303.58 / $303.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.27 / $572.62 / $3,140.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.52 / $1,919.44 / $2,600.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.82 / $2,483.82 / $2,483.82