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South Dakota rates for HCPCS E0294

Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.03 / $539.03 / $539.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.03 / $814.73 / $875.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.13 / $552.13 / $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 / $1,943.25 / $3,720.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.30 / $649.89 / $1,039.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.61 / $131.36 / $152.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.61 / $152.94 / $1,360.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.88 / $569.16 / $930.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.78 / $1,074.78 / $1,074.78