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South Dakota rates for HCPCS K0856

Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,972.91 / $7,004.13 / $9,459.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.57 / $775.57 / $775.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,880.00 / $11,998.80 / $14,850.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,415.97 / $6,878.76 / $19,191.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.27 / $4,827.67 / $5,679.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.13 / $937.13 / $2,153.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.40 / $2,228.00 / $11,712.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.00 / $3,407.76 / $5,679.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,221.40 / $9,221.40 / $9,221.40