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Ostomy Barrier, Solid 4x4, Standard Wear, Convex

South Dakota rates for HCPCS A4372

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

Rates data updated October 2026.

How much does Ostomy Barrier, Solid 4x4, Standard Wear, Convex cost?

$4.90

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.90 from a physician practice, and about $6.76 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.90$3.89 to $6.46
FacilityA hospital or hospital-owned outpatient department$6.76$4.27 to $6.76

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $11Professionalmedian $5 · 10th to 90th $2 to $8
$2$5$10$20$50facility $7professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$5.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$6.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.76
Typical High
$8.51
Medica
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$6.76
Typical High
$10.96
Medica
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$3.31
Typical High
$29.51
Midlands
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$6.61
Midlands
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$10.47
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$5.89
Typical High
$6.76
United
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$2.75
Typical High
$4.37
Wellmark
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$4.79
Typical High
$4.79

Where South Dakota sits

The same service costs 3.2 times more in Kansas than in New Hampshire. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 13th of 51

$4.90

KS $9.33NH $2.95

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.