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South Dakota rates for HCPCS E2624

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $275.42 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $331.13 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $562.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $457.09 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $436.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $457.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81