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South Dakota rates for HCPCS A4259

Lancets, per box of 100

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 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.78 / $13.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.85 / $51.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.41 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $1.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41