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South Dakota rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $4.13 / $5.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.39 / $0.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.36 / $10.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.57 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.57 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.22 / $0.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60