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Ostomy Irrigation Supply, Bag

South Dakota rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Rates data updated July 2026.

How much does Ostomy Irrigation Supply, Bag cost?

$16.98

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $18.62 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 7 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$16.98$12.30 to $22.39
FacilityA hospital or hospital-owned outpatient department$18.62$13.18 to $21.38

How much rates vary

Facilitymedian $19 · 10th to 90th $10 to $24Professionalmedian $17 · 10th to 90th $12 to $28
$10$20$50$100facility $19professional $17

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
$12.88
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.30
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$28.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$33.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$11.75
Typical High
$95.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$21.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$31.62
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$9.12
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.75
Typical High
$22.91
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85

Where South Dakota sits

The same service costs 2.5 times more in Kansas than in Rhode Island. 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· 6th of 51

$16.98

KS $23.44RI $9.55

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.