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South Dakota rates for HCPCS K0828

Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,303.54 / $10,575.72 / $10,575.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.06 / $7,860.06 / $7,860.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,008.75 / $13,138.84 / $16,260.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.21 / $8,377.54 / $22,751.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,177.00 / $5,940.13 / $7,196.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.73 / $1,339.97 / $1,339.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.73 / $2,527.17 / $13,859.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.87 / $4,158.09 / $7,196.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,963.35 / $10,963.35 / $10,963.35