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Insertion Tray with Drainage Bag, Silicone Foley Catheter

South Dakota rates for HCPCS A4315

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $25$500%20%10th90th$39Professionalmedian $34 · 10th–90th $23$540%10%20%10th90th$34$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
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$25.12
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$39.81
Typical High
$69.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$26.30
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$40.74
Typical High
$40.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$66.07
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$37.15
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.30
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$26.30
Typical High
$43.65
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20