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South Dakota rates for HCPCS A4651

Calibrated microcapillary tube, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $5.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $5.76 / $5.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $5.23 / $5.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50