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South Dakota rates for HCPCS E2602

General use wheelchair seat cushion, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.04 / $86.35 / $102.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.97 / $88.97 / $139.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.63 / $139.28 / $145.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.00 / $236.60 / $476.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.28 / $86.44 / $123.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.84 / $13.94 / $13.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.84 / $26.32 / $144.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.94 / $77.04 / $123.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.96 / $113.96 / $113.96