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South Dakota rates for HCPCS A4400

Ostomy irrigation set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.54 / $43.54 / $43.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $46.68 / $51.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $67.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.13 / $79.92 / $98.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.18 / $75.78 / $305.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.20 / $41.54 / $70.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.39 / $69.44 / $98.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.20 / $70.63 / $133.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.95 / $66.68 / $79.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.67 / $48.26 / $78.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.49 / $55.49 / $55.49