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South Dakota rates for HCPCS E2623

Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $359.01 / $445.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $542.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $560.54 / $693.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.44 / $568.28 / $2,250.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.35 / $398.11 / $464.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $54.27 / $54.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.85 / $102.36 / $561.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $278.68 / $464.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.97 / $443.97 / $443.97