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South Dakota rates for HCPCS A4402

Lubricant, per oz

Facilitymedian $2 · 10th–90th $1–$30%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.34 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $3.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.45 / $4.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.41 / $22.91
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.34 / $2.45
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $3.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.24 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $1.48 / $2.63
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00