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South Dakota rates for HCPCS A4409

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Convexity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $5.53 / $5.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $5.93 / $7.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.53 / $9.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $10.02 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $5.78 / $9.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $9.53 / $12.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $9.69 / $18.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $8.47 / $10.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.33 / $7.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $7.80 / $7.80