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South Dakota rates for HCPCS E0372

Powered air overlay for mattress, standard mattress length and width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.91 / $2,090.91 / $2,090.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.91 / $3,047.31 / $3,219.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,910.00 / $2,939.10 / $3,637.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.86 / $5,149.95 / $9,481.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.71 / $205.41 / $2,698.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.26 / $498.07 / $580.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.26 / $622.80 / $5,161.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.71 / $238.74 / $2,698.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,075.11 / $4,075.11 / $4,075.11