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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
$2.31 / $2.31 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $18.50 / $23.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $24.75 / $30.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.94 / $9.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $3.59 / $28.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $5.68 / $7.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $5.68 / $8.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $2.87 / $3.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $6.75 / $6.75