go back

South Dakota rates for HCPCS A4406

Ostomy Skin Barrier Pectin-Based Paste Per Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $5.47 / $6.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $5.09 / $8.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.38 / $11.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.49 / $9.24 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $5.09 / $8.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.32 / $8.80 / $11.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $8.92 / $16.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $7.81 / $9.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.99 / $8.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.20 / $7.20