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South Dakota rates for HCPCS K0851

Power Wheelchair Group 3 Heavy Duty Captains Chair Patient Weight Capacity 301 To 450 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,277.76 / $9,829.29 / $9,829.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,539.60 / $6,539.60 / $6,539.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,341.25 / $12,464.66 / $15,426.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,627.36 / $7,147.29 / $19,941.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,827.57 / $5,016.27 / $5,901.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.74 / $973.74 / $2,237.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.01 / $2,315.04 / $12,170.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.61 / $3,540.88 / $5,901.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,581.67 / $9,581.67 / $9,581.67