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South Dakota rates for HCPCS K0816

Power wheelchair, group 1 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,324.65 / $3,766.03 / $3,766.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.90 / $2,254.90 / $2,254.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,993.75 / $4,033.69 / $4,992.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.44 / $4,083.65 / $9,109.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.90 / $1,959.80 / $2,911.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.64 / $536.16 / $536.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.64 / $1,014.27 / $5,551.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.11 / $1,500.10 / $2,525.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,386.78 / $4,386.78 / $4,386.78