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South Dakota rates for HCPCS A4216

Sterile Water Saline And/Or Dextrose Diluent/ Flush 10 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.75 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.61 / $0.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.43 / $4.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.74 / $0.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.68 / $1.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.55 / $0.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.31 / $0.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56