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South Dakota rates for HCPCS A4326

Male external catheter with integral collection chamber, any type, each

Facilitymedian $9 · 10th–90th $9–$190%20%40%10th90th$9Professionalmedian $11 · 10th–90th $8–$220%20%10th90th$11$10.0$20.0$50.0

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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.85 / $25.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.72 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $14.45
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $24.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.72 / $17.78
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02