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South Dakota rates for HCPCS E0271

Mattress, innerspring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.93 / $108.93 / $108.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.47 / $147.29 / $162.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.50 / $123.50 / $224.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.25 / $224.06 / $224.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.56 / $333.86 / $725.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $112.41 / $174.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $22.46 / $26.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $28.00 / $232.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.97 / $109.05 / $177.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.68 / $183.68 / $183.68