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South Dakota rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.06 / $197.90 / $209.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.65 / $169.65 / $319.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.75 / $259.69 / $263.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.24 / $542.25 / $908.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $185.31 / $299.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.70 / $31.90 / $31.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $60.38 / $330.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $185.31 / $299.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.08 / $261.08 / $261.08