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South Dakota rates for HCPCS E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.95 / $73.39 / $73.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $96.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.63 / $96.72 / $108.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $164.26 / $349.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.82 / $61.28 / $85.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $9.66 / $9.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $18.23 / $100.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $61.28 / $85.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $79.14 / $79.14