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South Dakota rates for HCPCS A4366

Ostomy Vent Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.23 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $2.08 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.11 / $2.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.98 / $2.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.02 / $3.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.76 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.90 / $1.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62