go back

South Dakota rates for HCPCS A4368

Ostomy filter, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.26 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.39 / $1.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.21 / $3.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32