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South Dakota rates for HCPCS E2615

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.20 / $342.37 / $416.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.51 / $371.51 / $552.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $552.40 / $615.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.88 / $938.09 / $1,990.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $359.95 / $486.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.84 / $55.24 / $55.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.84 / $104.27 / $571.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.79 / $303.95 / $560.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.96 / $451.96 / $451.96