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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
$8,745.59 / $11,811.79 / $11,811.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.46 / $5,109.46 / $5,109.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,831.25 / $14,979.56 / $18,539.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,762.54 / $8,589.12 / $23,962.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,397.87 / $6,028.00 / $7,091.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.14 / $1,170.14 / $2,689.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.66 / $2,781.97 / $14,624.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.89 / $4,255.04 / $7,091.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,514.15 / $11,514.15 / $11,514.15