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South Dakota rates for HCPCS K0839

Power Wheelchair Group 2 Very Heavy Duty Single Power Option Sling/Solid Seat/Back Patient Weight Capacity 451 To 600 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,391.01 / $6,403.95 / $7,725.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,470.13 / $5,470.13 / $5,470.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,643.75 / $8,730.19 / $10,804.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,969.67 / $7,602.76 / $17,546.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.17 / $3,812.33 / $5,459.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.90 / $1,032.88 / $1,032.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.90 / $1,952.81 / $10,692.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.17 / $2,763.88 / $5,459.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,450.82 / $8,450.82 / $8,450.82