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South Dakota rates for HCPCS E0303

Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.68 / $1,447.68 / $1,447.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.58 / $1,966.86 / $2,228.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.98 / $1,775.98 / $1,775.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.00 / $2,363.40 / $2,925.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.83 / $3,323.99 / $9,676.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.58 / $1,512.05 / $2,419.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.60 / $320.69 / $373.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.60 / $400.02 / $3,320.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.93 / $1,293.45 / $2,419.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.86 / $2,623.86 / $2,623.86