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South Dakota rates for HCPCS E0371

Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.80 / $1,911.80 / $1,911.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.80 / $2,663.43 / $2,943.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.33 / $303.33 / $303.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,887.50 / $2,916.38 / $3,609.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.10 / $4,501.20 / $9,481.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $205.18 / $2,888.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.47 / $435.11 / $506.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.47 / $543.45 / $4,507.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $216.18 / $2,022.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,559.95 / $3,559.95 / $3,559.95