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South Dakota rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%10%10th90th$1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.56 / $0.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.34 / $3.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.56 / $0.56
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.51 / $0.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.37 / $0.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48