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South Dakota rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.79 / $69.44 / $69.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $93.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.13 / $93.25 / $102.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.51 / $158.34 / $344.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $60.04 / $81.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.24 / $9.32 / $9.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $17.55 / $96.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.24 / $51.11 / $81.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.29 / $76.29 / $76.29