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South Dakota rates for HCPCS A4336

Incontinence supply, urethral insert, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.20 / $2.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.60 / $10.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.29 / $2.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.21 / $3.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.00 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $1.00 / $1.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81