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South Dakota rates for HCPCS K0850

Power wheelchair, group 3 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,569.03 / $10,222.73 / $10,222.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,704.40 / $3,704.40 / $3,704.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,836.25 / $12,964.61 / $16,045.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,852.79 / $7,433.65 / $20,739.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,940.77 / $5,217.00 / $6,137.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.72 / $1,012.72 / $2,327.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.55 / $2,407.69 / $12,657.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.56 / $3,682.60 / $6,137.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,965.16 / $9,965.16 / $9,965.16