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South Dakota rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,901.82 / $16,074.55 / $16,074.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $10,694.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,182.50 / $20,384.33 / $25,228.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,203.03 / $11,688.69 / $32,610.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,624.10 / $8,203.40 / $9,651.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.43 / $1,592.43 / $3,659.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.71 / $3,785.96 / $19,902.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,853.92 / $5,790.64 / $9,651.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,669.63 / $15,669.63 / $15,669.63