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South Dakota rates for HCPCS A4422

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

Facilitymedian $0 · 10th–90th $0–$00%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%20%10th90th$0$0.1$0.5$2.0$10.0$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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.17 / $0.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.10 / $3.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.17 / $0.17
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.10 / $0.17
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.14