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South Dakota rates for HCPCS A4456

Adhesive remover, wipes, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $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
$0.32 / $0.37 / $0.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.27 / $25.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.38 / $0.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.37 / $0.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.34 / $0.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.17 / $0.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31