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South Dakota rates for HCPCS A4420

Ostomy pouch, closed; for use on barrier with locking flange (two piece), each

Facilitymedian $1 · 10th–90th $1–$20%50%10th90th$1Professionalmedian $2 · 10th–90th $2–$40%20%40%10th90th$2$1.0$2.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.15 / $1.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $2.40
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00