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South Dakota rates for HCPCS A5083

Continent device, stoma absorptive cover for continent stoma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.54 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.98 / $1.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.50 / $4.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.00 / $1.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.89 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.45 / $0.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81