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South Dakota rates for HCPCS A4397

Irrigation Supply Sleeve

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.92 / $6.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $21.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.91 / $7.46 / $7.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $7.46 / $10.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $5.58 / $5.85