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South Dakota rates for HCPCS A4773

Occult blood test strips, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $10.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $12.50 / $17.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $13.00 / $21.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.15 / $88.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $17.97 / $25.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $17.97 / $23.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.74 / $13.02