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South Dakota rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $5 · 10th–90th $4–$100%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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $11.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $8.32 / $14.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.90 / $38.02
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.51 / $8.51
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $13.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.76 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $5.13 / $9.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92