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South Dakota rates for HCPCS B4081

Nasogastric tubing with stylet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.98 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $26.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $29.51 / $64.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $19.95 / $35.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $20.89 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $19.95 / $35.48