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South Dakota rates for HCPCS A4615

Cannula, nasal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.02 / $1.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.51 / $12.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.93 / $0.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.02 / $1.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.51 / $1.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98