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South Dakota rates for HCPCS E0255

Hospital bed, variable height, hi-lo, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.89 / $544.89 / $544.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.85 / $742.07 / $838.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.85 / $682.85 / $682.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.25 / $874.91 / $1,082.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.72 / $2,033.27 / $3,720.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.46 / $584.47 / $935.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.83 / $122.63 / $142.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.83 / $153.01 / $1,269.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.88 / $438.49 / $836.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.32 / $1,003.32 / $1,003.32