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South Dakota rates for HCPCS K0841

Power wheelchair, group 2 standard, multiple 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
$3,311.31 / $4,365.16 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $7,413.10 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,187.76 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $3,715.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40