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South Dakota rates for HCPCS E2397

Power Wheelchair Accessr,Caster Fork, Any Size, Replace Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.79 / $512.91 / $512.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.65 / $455.65 / $636.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.25 / $647.66 / $801.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.42 / $667.20 / $2,490.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.52 / $421.50 / $512.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.22 / $63.66 / $63.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $120.12 / $658.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.42 / $320.48 / $512.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.76 / $520.76 / $520.76