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Irrigation Supply, Sleeve, Reusable

North Dakota rates for HCPCS A4436

Irrigation supply; sleeve, reusable, per month

Rates data updated July 2026.

How much does Irrigation Supply, Sleeve, Reusable cost?

$22.39

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $4.07 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$4.37 to $29.51
FacilityA hospital or hospital-owned outpatient department$4.07$4.07 to $5.13

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $27Professionalmedian $22 · 10th to 90th $4 to $32
$5.0$10.0$20.0$50.0$100.0facility $4professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$5.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.27
Typical High
$5.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$29.51
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$39.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.08
Typical High
$47.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$11.75
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.02
Typical High
$30.90

Where North Dakota sits

The same service costs 6.6 times more in Minnesota than in Indiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Dakota $22.39 · 3rd of 51
MN $26.92IN $4.07

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.