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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
$1.79 / $1.79 / $1.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $4.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $3.07 / $3.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.25 / $13.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.21 / $4.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.09 / $4.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.81 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.40 / $2.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52