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South Dakota rates for HCPCS A4338

Indwelling catheter; Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $10.93 / $10.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $10.93 / $14.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $10.29 / $18.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $19.88 / $24.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.72 / $19.80 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $12.11 / $19.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.68 / $18.85 / $24.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $19.11 / $36.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $16.73 / $19.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $8.55 / $14.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $15.43 / $15.43