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South Dakota rates for HCPCS B4081

Nasogastric Tubing With Stylet (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $19.73 / $19.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $23.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.59 / $26.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $29.32 / $40.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $20.17 / $35.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.53 / $26.87 / $31.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.77 / $31.25 / $50.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $20.72 / $24.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $18.52 / $35.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43