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South Dakota rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $6.06 / $6.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $6.06 / $6.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $17.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $10.88 / $13.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $10.87 / $13.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $7.97 / $49.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $11.42 / $14.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $11.01 / $16.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $10.01 / $13.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $6.38 / $9.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01