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South Dakota rates for HCPCS E2625

Skin Protection And Positioning Wheelchair Seat Cushion Adjustable Width 22 Inches Or Greater Any Depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.90 / $444.03 / $444.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.53 / $331.53 / $542.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.00 / $557.52 / $690.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.71 / $567.66 / $2,238.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $396.82 / $464.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.79 / $54.20 / $54.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.79 / $102.24 / $560.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.87 / $238.09 / $464.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.48 / $443.48 / $443.48