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South Dakota rates for HCPCS Q4118

MatriStem micromatrix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $4.30 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.61 / $3.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $4.33 / $5.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.56 / $11.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.31 / $3.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.07 / $3.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56