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South Dakota rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Facilitymedian $12 · 10th–90th $10–$220%20%40%10th90th$12Professionalmedian $12 · 10th–90th $9–$250%10%20%10th90th$12$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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $25.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $16.98 / $32.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.96 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $15.85
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $30.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.98 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $11.48 / $19.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18