go back

South Dakota rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Facilitymedian $2 · 10th–90th $2–$40%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1–$50%20%10th90th$2$1.0$2.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.09 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $4.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $3.31 / $6.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.95 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.16 / $3.16
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $5.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.88 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.95 / $3.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57