go back

South Dakota rates for HCPCS K0821

Power Wheelchair Group 2 Standard Portable Captains Chair Patient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.67 / $3,289.93 / $3,741.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,592.00
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 / $3,158.23 / $9,014.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.64 / $1,963.27 / $2,881.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.08 / $530.57 / $530.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.08 / $1,003.59 / $5,493.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.12 / $1,801.24 / $2,881.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,341.06 / $4,341.06 / $4,341.06