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South Dakota rates for HCPCS A4429

Ostomy Pouch Urinary With Barrier Attached Withbuilt-In Convexity With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.88 / $9.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $12.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $13.64 / $16.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $13.32 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $7.01 / $13.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.54 / $12.68 / $16.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $12.85 / $24.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $11.26 / $13.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.75 / $9.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.38 / $10.38