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South Dakota rates for HCPCS Q4168

AmnioBand, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.49 / $17.05 / $17.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $23.15 / $28.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.36 / $17.54 / $21.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $25.94 / $30.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $18.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.79 / $21.79 / $21.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.79 / $21.98 / $21.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $18.76