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South Dakota rates for HCPCS A0394

ALS specialized service disposable supplies; IV drug therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $16.34 / $17.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $20.25 / $25.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $11.48 / $21.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.06 / $22.06 / $28.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $17.39 / $21.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00