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South Dakota rates for HCPCS A4373

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) With Built-In Convexity Any Size Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $5.58 / $5.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $5.99 / $7.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.57 / $9.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $10.11 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $5.34 / $10.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $9.64 / $12.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $9.77 / $18.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $8.55 / $10.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.37 / $8.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88