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South Dakota rates for HCPCS E2365

Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.18 / $79.40 / $92.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.41 / $81.41 / $128.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $128.08 / $131.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.33 / $217.56 / $436.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.93 / $79.61 / $113.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.72 / $12.80 / $12.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $24.19 / $132.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $70.76 / $113.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.80 / $104.80 / $104.80