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South Dakota rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $3.42 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.19 / $5.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $7.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $5.78 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.05 / $5.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $5.51 / $7.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $5.60 / $10.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.88 / $5.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.50 / $4.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51