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South Dakota rates for HCPCS K0098

Drive belt for power wheelchair, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $27.49 / $27.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.13 / $20.13 / $34.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $34.47 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.78 / $40.32 / $134.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $22.61 / $30.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.45 / $3.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $6.52 / $35.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $14.74 / $30.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $28.13 / $28.13