go back

South Dakota rates for HCPCS A4346

Indwelling Catheter; Foley Type Three Way For Continuous Irrigation Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $17.45 / $17.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.45 / $18.70 / $22.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $16.44 / $30.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.88 / $31.88 / $39.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $31.60 / $121.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $19.34 / $31.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.03 / $30.10 / $39.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.56 / $30.52 / $57.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.83 / $26.72 / $31.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $17.44 / $27.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $24.62 / $24.62