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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
$1.00 / $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
$1.51 / $1.51 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.51 / $4.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.74 / $12.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.75 / $2.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.14 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.26 / $2.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29