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South Dakota rates for HCPCS E2622

Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.06 / $283.89 / $351.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.44 / $325.44 / $427.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $443.14 / $548.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.98 / $447.95 / $1,779.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.02 / $314.30 / $366.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.45 / $42.78 / $42.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $80.69 / $442.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $314.30 / $435.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.96 / $349.96 / $349.96