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South Dakota rates for HCPCS K0831

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,713.40 / $3,424.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $3,954.15 / $4,893.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,787.98 / $5,787.98 / $9,384.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.70 / $2,218.00 / $2,609.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,344.31 / $4,344.31 / $4,344.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,555.51 / $4,555.51 / $4,555.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.20 / $1,565.64 / $2,609.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,428.77 / $3,428.77 / $3,428.77