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South Dakota rates for HCPCS A4361

Ostomy faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.36 / $16.36 / $16.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $16.36 / $18.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $23.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.80 / $29.63 / $37.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $25.83 / $116.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $13.90 / $25.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $23.98 / $36.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.66 / $24.33 / $45.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.29 / $25.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $10.88 / $18.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.62 / $19.62 / $19.62