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Miscellaneous Ostomy Supply

South Dakota rates for HCPCS A4421

Ostomy supply; miscellaneous

Rates data updated October 2026.

How much does Miscellaneous Ostomy Supply cost?

$0.40

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $0.40 for this service. The price depends on where it is billed: about $0.40 from a physician practice, and about $8.51 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.40$0.40 to $5.01
FacilityA hospital or hospital-owned outpatient department$8.51$8.51 to $8.51

How much rates vary

Facilitymedian $9 · 10th to 90th $7 to $14Professionalmedian $0 · 10th to 90th $0 to $5
$0.5$1$2$5$10$20facility $9professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.02
Median
$19.05
Typical High
$22.39
Medica
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$13.80
Medica
Setting
Professional
Modifier
None
Typical Low
$0.48
Median
$0.48
Typical High
$0.48
Midlands
Setting
Professional
Modifier
None
Typical Low
$1.02
Median
$1.02
Typical High
$1.02
Midlands
Setting
Professional
Modifier
None
Typical Low
$1.02
Median
$1.02
Typical High
$1.02
Wellmark
Setting
Professional
Modifier
None
Typical Low
$0.40
Median
$0.40
Typical High
$0.40

Where South Dakota sits

The same service costs 199.5 times more in Montana than in Iowa. 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· 50th of 51

$0.40

MT $79.43IA $0.40

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.