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South Dakota rates for HCPCS E2385

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $79.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $64.57 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $31.62 / $52.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $61.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $33.11 / $63.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12