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South Dakota rates for HCPCS A4397

Irrigation supply; sleeve, each

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $12.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.89