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South Dakota rates for HCPCS A4316

Insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Facilitymedian $27 · 10th–90th $25–$520%20%40%10th90th$27Professionalmedian $30 · 10th–90th $22–$580%20%10th90th$30$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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $57.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $42.66 / $72.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $28.18 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $43.65
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $69.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $28.18 / $46.77
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48