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South Dakota rates for HCPCS A4657

Syringe With Or Without Needle Each (Updated 01-01-2003) 270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $2,659.86 / $9,948.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.47 / $1.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.85 / $1.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.46 / $0.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60