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South Dakota rates for HCPCS A4265

Paraffin, per pound

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $8.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $7.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $5.15 / $6.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $3.79 / $23.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.43 / $6.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.24 / $8.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $4.76 / $6.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $3.79 / $3.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28