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South Dakota rates for HCPCS A4306

Disposable drug delivery system, flow rate of less than 50 ml per hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $16.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $14.13 / $26.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.08 / $95.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $19.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.08 / $14.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89