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South Dakota rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.13 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $19.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $13.49 / $25.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $67.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.45 / $14.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $24.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.49 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.76 / $13.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48