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South Dakota rates for HCPCS A4411

Ostomy Skin Barrier Solid 4x4 Or Equivalent Extended Wear With Built-In Convexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $4.54 / $4.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $4.87 / $5.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.53 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $8.25 / $10.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $8.23 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $4.34 / $8.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.51 / $7.83 / $10.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $7.95 / $14.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $6.95 / $8.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.55 / $5.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.41