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South Dakota rates for HCPCS A4311

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)

Facilitymedian $15 · 10th–90th $13–$280%20%10th90th$15Professionalmedian $15 · 10th–90th $11–$300%10%10th90th$15$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $22.91
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $20.89 / $38.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.79 / $112.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $19.50
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $37.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.89 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $14.79 / $24.55
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85