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South Dakota rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Facilitymedian $6 · 10th–90th $6–$120%20%40%10th90th$6Professionalmedian $6 · 10th–90th $5–$140%20%10th90th$6$5.0$10.0$20.0$50.0

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
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $9.55 / $15.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.89 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.47 / $10.47
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $14.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.32 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $6.61 / $11.22
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76