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South Dakota rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $41.40 / $55.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $51.26 / $66.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $69.69 / $86.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.01 / $113.44 / $280.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $49.23 / $57.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $6.68 / $6.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $12.60 / $69.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $29.59 / $57.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.66 / $54.66 / $54.66