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South Dakota rates for HCPCS E2342

Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.88 / $577.90 / $577.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.90 / $353.90 / $688.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.63 / $732.88 / $907.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.74 / $1,172.39 / $2,940.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.36 / $442.38 / $520.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.24 / $68.84 / $68.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.64 / $131.57 / $715.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.83 / $312.27 / $520.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.34 / $563.34 / $563.34