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South Dakota rates for HCPCS A4270

Disposable Endoscope Sheath Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $25.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $25.90 / $70.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $16.14 / $16.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $9.90 / $9.90