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South Dakota rates for HCPCS A4223

Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)

Facilitymedian $20 · 10th–90th $20–$910%50%90th$20Professionalmedian $20 · 10th–90th $20–$710%50%90th$20$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $85.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $75.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $70.79 / $70.79
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88