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South Dakota rates for HCPCS A4860

Disposable catheter tips for peritoneal dialysis, per 10

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.42 / $0.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00