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South Dakota rates for HCPCS A4371

Ostomy skin barrier, powder, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $3.43 / $4.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.24 / $5.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $7.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $5.80 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.10 / $5.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $5.52 / $7.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.61 / $10.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.90 / $5.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $3.34 / $5.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51