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South Dakota rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $3.98 / $9.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.95 / $28.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.37 / $5.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.95 / $3.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76