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South Dakota rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $59.98 / $59.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $81.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.13 / $81.59 / $87.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.51 / $128.47 / $305.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.43 / $50.45 / $65.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $8.47 / $8.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $15.99 / $84.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $50.45 / $65.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.76 / $66.76 / $66.76