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South Dakota rates for HCPCS A4349

Male external catheter, with or without adhesive, disposable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.88 / $3.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.41 / $14.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.09 / $3.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $5.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.82 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.20 / $2.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51