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South Dakota rates for HCPCS A4320

Irrigation tray with bulb or piston syringe, any purpose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $4.76 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $11.00 / $13.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $10.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $8.03 / $9.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $5.94 / $37.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $8.51 / $10.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $7.92 / $12.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $7.46 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.73 / $6.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98