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South Dakota rates for HCPCS E2363

Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.28 / $139.76 / $170.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.25 / $150.25 / $225.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.50 / $225.49 / $253.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.63 / $382.94 / $821.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.24 / $145.11 / $197.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.56 / $22.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $42.58 / $233.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.12 / $123.44 / $197.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.49 / $184.49 / $184.49