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South Dakota rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.05 / $143.28 / $143.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $190.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.13 / $190.49 / $215.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.59 / $323.45 / $719.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.87 / $126.08 / $166.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $19.04 / $19.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $35.93 / $197.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.37 / $104.26 / $166.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.85 / $155.85 / $155.85