go back

South Dakota rates for HCPCS K0056

Seat Height Less Than 17 Or Equal To Or Greater Than 21 For A High Strength Lightweight Or Ultralightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $86.45 / $108.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.09 / $97.09 / $139.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.38 / $139.50 / $165.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.28 / $170.30 / $530.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.94 / $92.33 / $112.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.85 / $13.96 / $13.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $26.32 / $144.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $64.63 / $112.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.14 / $114.14 / $114.14