go back

South Dakota rates for HCPCS E2382

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $14.57 / $25.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $26.13 / $32.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $43.68 / $104.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $18.67 / $22.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.54 / $2.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.80 / $26.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $18.67 / $29.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.04 / $21.04 / $21.04