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Home Visit For Stoma Care

South Dakota rates for HCPCS 99505

A visit to a patient's home to care for a stoma, the surgically created opening on the abdomen through which bowel or urine drains into a bag. The visit covers changing and fitting the appliance, checking the skin around the opening for irritation and teaching the patient or family how to manage it. It supports people adjusting to a stoma or having difficulty caring for one.

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $43$690%20%40%90th$43Professionalmedian $25 · 10th–90th $25$250%50%$25$50.0

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
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$69.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$79.43