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South Dakota rates for HCPCS K0849

Power Wheelchair Group 3 Standard Captains Chairpatient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,273.68 / $8,473.24 / $8,473.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $3,087.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,638.75 / $10,745.14 / $13,298.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,851.10 / $6,161.32 / $17,189.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,437.46 / $4,324.20 / $5,087.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.40 / $839.40 / $1,929.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.66 / $1,995.66 / $10,491.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.47 / $3,052.36 / $5,087.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,259.75 / $8,259.75 / $8,259.75