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South Dakota rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $6 · 10th–90th $5–$100%20%10th90th$6Professionalmedian $7 · 10th–90th $4–$120%20%10th90th$7$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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $12.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $9.12 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.37 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $9.12
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $15.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.32 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $5.62 / $9.77
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59