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Perianal Fecal Collection Pouch with Adhesive

South Dakota rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $7$180%20%10th90th$11Professionalmedian $8 · 10th–90th $6$130%10%20%10th90th$8$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
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.92
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$13.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$10.72
Typical High
$13.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$50.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$17.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.00
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$5.01
Typical High
$10.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13