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South Dakota rates for HCPCS A0396

Als Specialized Service Disposable Supplies; Esophageal Intubation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $27.14 / $29.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $33.38 / $41.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $19.05 / $34.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $36.64 / $47.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.87 / $35.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00