go back

South Dakota rates for HCPCS A4355

Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each

Facilitymedian $9 · 10th–90th $7–$140%20%40%10th90th$9Professionalmedian $9 · 10th–90th $7–$180%20%10th90th$9$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $18.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $12.30 / $19.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.51 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.49 / $13.49
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $19.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.47 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $8.51 / $14.45
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96