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South Dakota rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $446.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $275.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $398.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $173.78 / $316.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59