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South Dakota rates for HCPCS K0012

Lightweight portable motorized/power wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,043.53 / $4,191.37 / $4,191.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.05 / $2,225.05 / $3,738.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,710.29 / $5,261.25 / $6,576.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.24 / $5,143.57 / $20,369.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.74 / $2,364.92 / $2,564.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.23 / $499.37 / $499.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.91 / $954.31 / $5,189.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.22 / $2,364.92 / $4,913.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,085.73 / $4,085.73 / $4,085.73