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South Dakota rates for HCPCS A4248

Chlorhexidine Containing Antiseptic 1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $2.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $5.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.50 / $1.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30