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South Dakota rates for HCPCS A7505

Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.18 / $4.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $4.48 / $5.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $7.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $9.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $7.57 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $3.98 / $7.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $7.21 / $9.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.31 / $13.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.40 / $7.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.27 / $5.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.22 / $6.22