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South Dakota rates for HCPCS K0011

Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,892.58 / $6,608.22 / $6,608.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,106.14 / $5,106.14 / $5,106.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,298.75 / $8,381.74 / $10,373.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.05 / $11,826.99 / $33,203.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.54 / $3,486.60 / $4,221.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.03 / $787.33 / $787.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.03 / $1,504.56 / $8,181.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.42 / $2,440.62 / $4,221.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,441.75 / $6,441.75 / $6,441.75