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South Dakota rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.35 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.39 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.75 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.59 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.32 / $0.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.56 / $0.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.59 / $1.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.50 / $0.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.26 / $0.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48