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South Dakota rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Facilitymedian $9 · 10th–90th $6–$220%20%10th90th$9Professionalmedian $7 · 10th–90th $6–$210%20%10th90th$7$5.0$10.0$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $20.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $10.23 / $24.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.62 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $14.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.62 / $11.22
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82