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South Dakota rates for HCPCS A4436

Irrigation Supply; Sleeve Reusable Per Month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.15 / $5.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $31.13 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $7.84 / $28.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $23.46 / $133.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $33.40 / $38.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $29.39 / $37.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $30.14 / $35.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $23.46 / $23.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $23.13 / $23.13