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South Dakota rates for HCPCS K0855

Power Wheelchair Group 3 Extra Heavy Duty Captains Chair Patient Weight Capacity 601 Poundsor More

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,242.98 / $15,184.77 / $15,184.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,068.75 / $19,259.43 / $23,835.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,693.64 / $11,041.73 / $30,805.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,368.17 / $7,749.33 / $9,116.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.28 / $1,504.28 / $3,457.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.91 / $3,576.40 / $18,800.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,640.59 / $5,470.12 / $9,116.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,802.21 / $14,802.21 / $14,802.21