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South Dakota rates for HCPCS E0302

Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $8,511.38 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,630.27 / $5,128.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,365.16 / $7,079.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,090.30 / $5,754.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83