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South Dakota rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $3 · 10th–90th $2–$60%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2–$50%20%40%90th$2$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $6.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.80 / $4.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.74 / $20.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $6.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.47 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $2.04 / $4.57
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72