go back

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
$268.26 / $288.49 / $356.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $330.59 / $432.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.88 / $450.33 / $557.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.72 / $453.36 / $1,807.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.33 / $318.72 / $370.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.97 / $43.30 / $43.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.97 / $81.65 / $447.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.38 / $231.56 / $370.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.20 / $354.20 / $354.20