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South Dakota rates for HCPCS A4332

Lubricant Individual Sterile Packet Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.18 / $0.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.13 / $3.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.19 / $0.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14