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South Dakota rates for HCPCS A4353

Intermittent Urinary Catheter With Insertion Supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $6.24 / $6.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $6.24 / $8.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $5.87 / $10.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $11.25 / $14.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $11.31 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $6.91 / $11.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $10.77 / $14.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $10.91 / $20.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $9.56 / $11.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $4.88 / $8.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $8.81 / $8.81