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South Dakota rates for HCPCS K0823

Power wheelchair, group 2 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.16 / $3,733.03 / $4,039.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.69 / $2,290.69 / $3,236.31
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 / $4,879.47 / $10,228.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.37 / $2,041.20 / $3,265.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.16 / $601.88 / $601.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.16 / $1,139.83 / $6,234.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.12 / $1,616.21 / $3,265.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,924.43 / $4,924.43 / $4,924.43