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South Dakota rates for HCPCS K0843

Power wheelchair, group 2 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,641.83 / $5,196.38 / $6,175.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,303.28 / $4,303.28 / $4,303.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,776.25 / $6,844.01 / $8,470.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.54 / $6,305.50 / $14,238.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.54 / $2,989.07 / $4,431.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.49 / $838.05 / $838.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.49 / $1,585.03 / $8,676.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.54 / $2,578.01 / $4,431.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,856.74 / $6,856.74 / $6,856.74