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South Dakota rates for HCPCS K0005

Ultralightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.36 / $1,736.24 / $2,344.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.91 / $1,916.91 / $2,793.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.75 / $3,024.70 / $3,743.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.69 / $2,934.25 / $12,056.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.07 / $1,825.63 / $2,111.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.31 / $279.39 / $279.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.57 / $533.91 / $2,903.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.67 / $1,267.11 / $2,583.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,285.88 / $2,285.88 / $2,285.88