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South Dakota rates for HCPCS K0840

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,753.31 / $11,808.39 / $11,808.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,391.94 / $8,391.94 / $8,391.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,267.50 / $13,400.18 / $16,584.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,630.07 / $11,518.64 / $26,724.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,926.57 / $5,853.13 / $8,313.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.43 / $1,573.11 / $1,573.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.43 / $2,973.98 / $16,284.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.19 / $4,224.28 / $8,011.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,870.90 / $12,870.90 / $12,870.90