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South Dakota rates for HCPCS A4352

Intermittent Urinary Catheter; Coude (Curved) Tip With Or Without Coating (Teflon Silicone Silicone Elastomeric Or Hydrophilic Etc.) Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $5.22 / $7.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.40 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.09 / $11.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $9.61 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $6.08 / $10.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $9.86 / $12.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $10.01 / $18.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $7.45 / $8.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $4.40 / $6.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07