go back

South Dakota rates for HCPCS E0272

Mattress, foam rubber

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.00 / $112.00 / $112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.72 / $146.71 / $172.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.30 / $120.30 / $236.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.50 / $236.68 / $245.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.45 / $303.63 / $812.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.83 / $112.41 / $175.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.67 / $27.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $29.48 / $244.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $141.63 / $194.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.64 / $193.64 / $193.64