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South Dakota rates for HCPCS A7520

Tracheostomy/laryngectomy tube, noncuffed, polyvinyl chloride (PVC), silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.30 / $42.30 / $42.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $45.35 / $55.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.86 / $49.23 / $72.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.88 / $76.88 / $96.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.33 / $76.64 / $311.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.43 / $40.36 / $75.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.68 / $72.95 / $95.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $74.00 / $139.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.34 / $64.78 / $77.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $33.10 / $55.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $63.01 / $63.01