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South Dakota rates for HCPCS E2328

Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.44 / $5,481.76 / $5,481.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.21 / $1,642.21 / $5,765.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.75 / $6,987.94 / $8,648.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,731.39 / $11,161.23 / $31,412.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.30 / $4,754.60 / $5,613.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.29 / $656.40 / $656.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.29 / $1,239.42 / $6,798.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.44 / $4,754.60 / $5,740.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.57 / $5,370.57 / $5,370.57