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South Dakota rates for HCPCS A4326

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $9.61 / $9.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $9.61 / $11.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $9.05 / $14.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.63 / $22.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $15.75 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $10.65 / $15.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.16 / $14.61 / $21.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $14.81 / $27.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $13.31 / $15.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.10 / $11.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $11.95 / $11.95