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South Dakota rates for HCPCS E2616

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $460.87 / $560.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.09 / $376.09 / $743.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.50 / $743.60 / $826.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.07 / $1,262.78 / $2,699.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.97 / $476.81 / $653.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.81 / $74.36 / $74.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $140.34 / $769.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.19 / $408.34 / $653.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.40 / $608.40 / $608.40