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South Dakota rates for HCPCS K0861

Power Wheelchair Group 3 Standard Multiple 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
$3,979.26 / $7,015.40 / $9,474.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,488.00 / $4,488.00 / $4,488.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,898.75 / $12,017.74 / $14,873.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,424.66 / $6,889.88 / $19,222.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,413.20 / $4,835.39 / $7,022.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.63 / $938.63 / $2,157.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.27 / $2,231.58 / $11,731.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.65 / $3,511.00 / $7,022.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,236.25 / $9,236.25 / $9,236.25