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South Dakota rates for HCPCS A7502

Replacement diaphragm/faceplate for tracheostoma valve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.48 / $44.48 / $44.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.48 / $47.68 / $58.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.70 / $37.70 / $76.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $81.00 / $101.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.66 / $80.58 / $327.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $42.42 / $79.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.80 / $76.73 / $100.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.05 / $77.81 / $146.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.18 / $68.12 / $80.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $34.79 / $70.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.26 / $66.26 / $66.26