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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
$38.14 / $50.05 / $50.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $61.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $62.49 / $77.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.46 / $104.50 / $251.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.75 / $44.73 / $52.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $6.16 / $6.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $11.60 / $63.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.37 / $44.73 / $61.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.35 / $50.35 / $50.35