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South Dakota rates for HCPCS E2603

Skin Protection Wheelchair Seat Cushion Width Less Than 22 Inches Any Depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.71 / $107.98 / $129.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.27 / $109.27 / $174.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $174.20 / $184.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.74 / $295.87 / $585.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.72 / $106.50 / $154.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.42 / $17.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $32.94 / $180.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.56 / $96.39 / $154.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.52 / $142.52 / $142.52