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South Dakota rates for HCPCS E2613

Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $512.86 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $218.78 / $426.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $478.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11