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South Dakota rates for HCPCS E2613

Positioning Wheelchair Back Cushion Posterior Width Less Than 22 Inches Any

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.85 / $298.70 / $367.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.16 / $319.16 / $481.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.13 / $481.95 / $545.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.28 / $818.47 / $1,744.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.57 / $309.07 / $423.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $48.20 / $48.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.84 / $90.99 / $498.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.88 / $216.35 / $423.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.33 / $394.33 / $394.33