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South Dakota rates for HCPCS A4362

Skin barrier; solid, 4 x 4 or equivalent; each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $3.32 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.09 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $7.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $5.61 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.94 / $5.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $5.34 / $6.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.40 / $10.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.74 / $5.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $3.43 / $5.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37