go back

South Dakota rates for HCPCS A4461

Surgical Dressing Holder Non-Reusable Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $3.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $8.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.97 / $6.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.67 / $22.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.25 / $6.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.07 / $7.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.61 / $6.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.29 / $3.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.15