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South Dakota rates for HCPCS K0879

Power wheelchair, group 4 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,932.50 / $6,932.50 / $6,932.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,715.93 / $11,715.93 / $18,995.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $540.54 / $540.54