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South Dakota rates for HCPCS A4360

Disposable external urethral clamp or compression device, with pad and/or pouch, each

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$0.5$1.0$2.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.69 / $0.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.28 / $3.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.72
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $1.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.69 / $0.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.34 / $0.78
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59