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South Dakota rates for HCPCS K0835

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,841.81 / $3,991.82 / $4,691.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $2,673.00 / $2,673.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,073.75 / $5,124.49 / $6,342.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.93 / $4,920.35 / $10,937.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.80 / $2,237.60 / $3,405.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.54 / $643.74 / $643.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.54 / $1,217.89 / $6,665.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.80 / $2,128.51 / $3,405.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,266.98 / $5,266.98 / $5,266.98