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South Dakota rates for HCPCS A5081

Stoma plug or seal, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.95 / $3.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $5.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.25 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $4.55 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.50 / $5.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $5.09 / $6.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.17 / $9.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.84 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.18 / $4.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17