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South Dakota rates for HCPCS K0852

Power wheelchair, group 3 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $9,332.54 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,791.08 / $15,135.61 / $18,620.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $14,791.08 / $23,988.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,981.07 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,981.07 / $8,511.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54