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South Dakota rates for HCPCS A4312

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way, all silicone

Facilitymedian $16 · 10th–90th $16–$320%20%40%90th$16Professionalmedian $19 · 10th–90th $13–$360%20%10th90th$19$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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $36.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $26.92 / $41.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $17.78 / $144.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $27.54 / $27.54
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $39.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $17.78 / $29.51
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91