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South Dakota rates for HCPCS A4452

Tape, waterproof, per 18 sq in

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
$0.23 / $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
$0.35 / $0.47 / $0.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.44 / $40.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.54 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.54 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.27 / $0.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48