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South Dakota rates for HCPCS E2343

Power Wheelchair Accessory Nonstandard Seat Framedepth 22-25 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.61 / $924.64 / $924.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.17 / $615.17 / $1,101.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $1,172.60 / $1,451.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.38 / $1,875.83 / $4,704.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.98 / $707.82 / $832.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.59 / $110.15 / $110.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.83 / $210.49 / $1,144.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.53 / $499.64 / $832.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.34 / $901.34 / $901.34