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South Dakota rates for HCPCS A4450

Tape Non-Waterproof Per 18 Square Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.23 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.39 / $0.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.11 / $5.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.46 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.41 / $0.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13