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South Dakota rates for HCPCS E2378

Power wheelchair component, actuator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.78 / $636.71 / $636.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.88 / $450.88 / $654.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.10 / $798.75 / $998.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.51 / $1,333.78 / $3,564.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.85 / $546.10 / $631.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.11 / $78.33 / $78.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.11 / $149.68 / $814.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.96 / $394.38 / $631.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.89 / $640.89 / $640.89