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South Dakota rates for HCPCS E0296

Hospital bed, total electric (head, foot, and height adjustments), without side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.57 / $874.57 / $874.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.57 / $1,150.86 / $1,415.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.10 / $881.10 / $1,239.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.00 / $1,636.20 / $2,025.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.79 / $2,470.37 / $6,756.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.46 / $964.28 / $1,489.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.09 / $185.64 / $215.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.09 / $215.97 / $1,921.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.66 / $1,012.20 / $1,489.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.84 / $1,518.84 / $1,518.84