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South Dakota rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Facilitymedian $4 · 10th–90th $3–$80%20%10th90th$4Professionalmedian $5 · 10th–90th $3–$90%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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $7.94
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.46 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $6.61 / $11.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.89 / $30.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.61 / $6.76
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $10.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.03 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $4.07 / $7.08
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50