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Ostomy Barrier, Solid 4x4, Extended Wear, Flat

South Dakota rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Rates data updated July 2026.

How much does Ostomy Barrier, Solid 4x4, Extended Wear, Flat cost?

$6.76

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $6.76 for this service. The price depends on where it is billed: about $6.46 from a physician practice, and about $7.59 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.46$4.90 to $8.32
FacilityA hospital or hospital-owned outpatient department$7.59$5.13 to $8.32

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $10Professionalmedian $6 · 10th to 90th $5 to $10
$2$5$10$20$50facility $8professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.90
Typical High
$9.55
Avera
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.76
Typical High
$13.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.79
Typical High
$35.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.76
Typical High
$7.76
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$12.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.08
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.39
Typical High
$5.01
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$4.79
Typical High
$8.32
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75

Where South Dakota sits

The same service costs 2.4 times more in Hawaii than in Colorado. 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· 4th of 51

$6.76

HI $7.76CO $3.24

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.