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South Dakota rates for HCPCS A4385

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

Facilitymedian $5 · 10th–90th $4–$90%20%10th90th$5Professionalmedian $5 · 10th–90th $4–$100%20%10th90th$5$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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $8.91
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.59 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $10.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.76 / $13.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.79 / $35.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.76 / $7.76
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $12.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.08 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $4.79 / $8.32
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46