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South Dakota rates for HCPCS K0822

Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,799.86 / $3,809.96 / $4,252.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.40 / $2,446.40 / $2,446.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,372.50 / $4,416.22 / $5,465.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.09 / $4,847.72 / $10,439.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.64 / $2,111.27 / $3,328.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.45 / $614.34 / $614.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.45 / $1,162.86 / $6,362.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.65 / $1,675.05 / $2,537.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,026.41 / $5,026.41 / $5,026.41