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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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $10.23 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $25.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $18.62 / $32.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.96 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $18.62 / $19.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $30.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $16.98 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.51 / $17.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49