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South Dakota rates for HCPCS A4407

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear With Built-In Convexity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.81 / $7.81 / $7.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $8.36 / $10.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.79 / $13.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $17.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $14.15 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $7.45 / $13.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $13.46 / $17.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $13.65 / $25.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $11.95 / $14.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $6.11 / $10.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.02 / $11.02