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South Dakota rates for HCPCS A4331

Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each

Facilitymedian $4 · 10th–90th $2–$60%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$60%20%10th90th$3$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $6.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.79 / $6.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.86 / $21.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $7.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.47 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.19 / $5.01
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98