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South Dakota rates for HCPCS K0842

Power Wheelchair Group 2 Standard Multiple Poweroption Captains Chair Patient Weight Capicity Upto And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,339.43 / $5,176.89 / $5,176.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $3,621.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,707.50 / $5,764.58 / $7,134.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.33 / $5,237.12 / $11,890.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.97 / $2,517.92 / $3,700.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.20 / $699.85 / $699.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.20 / $1,323.57 / $7,245.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.97 / $2,312.80 / $3,700.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,726.07 / $5,726.07 / $5,726.07