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South Dakota rates for HCPCS A4404

Ostomy ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.49 / $1.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.74 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.63 / $3.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $2.56 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.30 / $2.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.56 / $3.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.56 / $4.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.00 / $2.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.11 / $1.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79