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South Dakota rates for HCPCS K0859

Power Wheelchair Group 3 Heavy Duty Single Poweroption Captains Chair Patient Weight Capacity 301 To 450 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,287.71 / $11,193.41 / $11,193.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,447.14 / $7,447.14 / $7,447.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,055.00 / $14,195.55 / $17,568.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,408.40 / $8,139.29 / $22,708.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,219.97 / $5,712.40 / $6,720.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.88 / $1,108.88 / $2,548.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.34 / $2,636.33 / $13,858.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,683.65 / $4,032.28 / $6,720.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,911.42 / $10,911.42 / $10,911.42