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South Dakota rates for HCPCS A5102

Bedside drainage bottle with or without tubing, rigid or expandable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.11 / $20.11 / $20.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.11 / $21.39 / $26.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $34.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $36.38 / $45.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $36.15 / $146.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $22.29 / $35.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.63 / $34.42 / $45.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $34.93 / $65.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.12 / $30.56 / $36.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.62 / $26.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.16 / $28.16 / $28.16