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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
$1.31 / $1.31 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $2.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $3.19 / $6.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $11.77 / $11.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86