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South Dakota rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Facilitymedian $10 · 10th–90th $6–$140%20%10th90th$10Professionalmedian $6 · 10th–90th $5–$130%20%10th90th$6$5.0$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $10.72 / $13.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.27 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $17.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.00 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.01 / $10.72
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91