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South Dakota rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Facilitymedian $15 · 10th–90th $10–$250%20%10th90th$15Professionalmedian $11 · 10th–90th $7–$210%20%10th90th$11$10.0$20.0$50.0$100.0

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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.22 / $21.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.92 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $28.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $16.22 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.32 / $18.62
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79