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South Dakota rates for HCPCS E2312

Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.05 / $2,601.35 / $2,601.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.28 / $213.28 / $2,320.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,923.45 / $3,266.25 / $4,082.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.87 / $3,255.02 / $12,643.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.68 / $1,991.40 / $2,863.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.70 / $309.93 / $309.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.17 / $569.55 / $3,220.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.70 / $2,310.51 / $2,863.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,535.75 / $2,535.75 / $2,535.75