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South Dakota rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $5.83 / $5.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $5.38 / $6.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.57 / $8.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $10.50 / $13.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $9.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $6.27 / $10.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $10.16 / $13.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $10.16 / $19.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $7.69 / $9.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $6.55 / $10.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.09 / $7.09