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South Dakota rates for HCPCS E2370

Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.29 / $565.32 / $648.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.79 / $459.79 / $587.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $724.99 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.70 / $1,548.98 / $3,203.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.43 / $490.10 / $820.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.55 / $91.19 / $91.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.55 / $172.31 / $943.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.00 / $490.10 / $820.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.10 / $746.10 / $746.10