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South Dakota rates for HCPCS A4372

Ostomy Skin Barrier Solid 4x4 Or Equivalent Standard Wear With Built-Inconvexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $4.01 / $4.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $6.75 / $8.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $6.73 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.55 / $6.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $6.46 / $8.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $6.54 / $12.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.73 / $6.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.92 / $4.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $5.28 / $5.28