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South Dakota rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $4 · 10th–90th $3–$70%20%10th90th$4Professionalmedian $4 · 10th–90th $3–$90%20%10th90th$4$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $8.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.46 / $10.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.72 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.46 / $6.46
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $10.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.89 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.89 / $6.92
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25