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Irrigation Supply, Sleeve, Reusable

South Dakota rates for HCPCS A4436

Irrigation supply; sleeve, reusable, per month

Rates data updated July 2026.

How much does Irrigation Supply, Sleeve, Reusable cost?

$10.00

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $7.76 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 7 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$11.75$4.47 to $30.90
FacilityA hospital or hospital-owned outpatient department$7.76$6.92 to $26.92

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $42Professionalmedian $12 · 10th to 90th $4 to $39
$5.0$10.0$20.0$50.0$100.0facility $8professional $12

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. Small sample; interpret with caution. 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
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.37
Typical High
$5.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$38.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$7.24
Typical High
$28.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.02
Typical High
$134.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$29.51
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$26.92
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.13
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89

Where South 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.

South Dakota $10.00 · 15th 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.