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South Dakota rates for HCPCS K0003

Lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.96 / $583.52 / $588.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.29 / $346.29 / $396.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.25 / $511.31 / $632.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.72 / $1,598.84 / $2,028.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.95 / $416.47 / $589.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $94.04 / $94.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.52 / $178.43 / $974.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.24 / $344.81 / $527.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.41 / $769.41 / $769.41