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South Dakota rates for HCPCS A4349

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

Facilitymedian $3 · 10th–90th $1–$40%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$40%20%40%10th90th$1$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $4.27
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $3.02 / $3.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.20 / $14.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $5.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.82 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.41 / $3.16
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51