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South Dakota rates for HCPCS A4437

Irrigation supply; sleeve, disposable, per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.75 / $28.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.13 / $134.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $29.51 / $29.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $26.92 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.75 / $27.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91