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South Dakota rates for HCPCS A4356

External urethral clamp or compression device (not to be used for catheter clamp), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $37.15 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $38.02 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $66.07 / $120.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.90 / $323.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $67.61 / $67.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $114.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $63.10 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $31.62 / $64.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95