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South Dakota rates for HCPCS K0004

High strength, lightweight wheelchair

Facilitymedian $1,413 · 10th–90th $51$2,5120%10%20%10th90th$1,413Professionalmedian $759 · 10th–90th $398$8710%20%10th90th$759$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $660.69 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $2,238.72 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $467.74 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $660.69 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $537.03 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48