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South Dakota rates for HCPCS A4351

Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, or silicone elastomer, etc.), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.47 / $2.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.52 / $2.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.00 / $3.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.72 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.75 / $2.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.78 / $3.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.83 / $5.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.10 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.72 / $2.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27