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Ostomy Irrigation Set

South Dakota rates for HCPCS A4400

Ostomy irrigation set

Rates data updated July 2026.

How much does Ostomy Irrigation Set cost?

$64.57

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $67.61 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$60.26$46.77 to $79.43
FacilityA hospital or hospital-owned outpatient department$67.61$50.12 to $75.86

How much rates vary

Facilitymedian $68 · 10th to 90th $41 to $93Professionalmedian $60 · 10th to 90th $44 to $100
$50$100$200facility $68professional $60

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
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$69.18
Typical High
$69.18
Midlands
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$123.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$32.36
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$79.43
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12

Where South Dakota sits

The same service costs 3.2 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

$64.57

HI $91.20CO $28.84

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.