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South Dakota rates for HCPCS A4383

Ostomy pouch, urinary, for use on faceplate, rubber, each

Facilitymedian $28 · 10th–90th $25–$490%20%40%10th90th$28Professionalmedian $32 · 10th–90th $22–$580%20%10th90th$32$20.0$50.0$100.0

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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $57.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $42.66 / $74.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $43.65 / $43.65
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $70.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $26.30 / $45.71
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48