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South Dakota rates for HCPCS A5083

Continent Device; Stoma Absorptive Cover For Continent Stoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.62 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.05 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.54 / $1.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.99 / $1.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.99 / $1.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.88 / $1.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.45 / $0.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81