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South Dakota rates for HCPCS K0853

Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,984.01 / $12,133.83 / $12,133.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,072.81 / $8,072.81 / $8,072.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,236.25 / $15,388.61 / $19,045.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,946.81 / $8,823.10 / $24,616.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,490.47 / $6,192.33 / $7,285.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.04 / $1,202.04 / $2,762.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.40 / $2,857.82 / $15,023.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.23 / $4,371.04 / $7,285.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,828.07 / $11,828.07 / $11,828.07