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South Dakota rates for HCPCS A4321

Therapeutic agent for urinary catheter irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.24 / $6.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91