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South Dakota rates for HCPCS A4382

Ostomy Pouch Urinary For Use On Faceplate Heavy Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.94 / $21.94 / $21.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $23.51 / $28.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $20.66 / $37.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.75 / $39.75 / $49.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $39.72 / $161.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $20.93 / $39.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.46 / $37.84 / $49.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.61 / $38.36 / $72.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $33.59 / $39.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $17.16 / $28.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $30.96 / $30.96