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South Dakota rates for HCPCS E2614

Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.93 / $513.33 / $513.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $358.71 / $687.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.38 / $687.28 / $765.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.36 / $1,167.05 / $2,574.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.95 / $450.03 / $602.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.20 / $68.73 / $68.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $129.66 / $710.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.45 / $376.87 / $602.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.32 / $562.32 / $562.32