go back

South Dakota rates for HCPCS E2621

Positioning Wheelchair Back Cushion Planar Back With Lateral Supports Width

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.44 / $434.88 / $525.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.35 / $465.35 / $701.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.63 / $701.66 / $772.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.78 / $1,191.57 / $2,544.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.75 / $453.94 / $616.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.66 / $70.17 / $70.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.66 / $132.44 / $725.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.04 / $385.57 / $616.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.08 / $574.08 / $574.08