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South Dakota rates for HCPCS A4218

Sterile saline or water, metered dose dispenser, 10 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.95 / $3.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34