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Ostomy Absorbent Material to Thicken Stomal Output

South Dakota rates for HCPCS A4422

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

Rates data updated July 2026.

How much does Ostomy Absorbent Material to Thicken Stomal Output cost?

$0.15

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $0.15 for this service. The price depends on where it is billed: about $0.15 from a physician practice, and about $0.16 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.15$0.11 to $0.22
FacilityA hospital or hospital-owned outpatient department$0.16$0.11 to $0.19

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $0
$0.1$1$10facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$0.11
Median
$0.11
Typical High
$0.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.10
Median
$0.11
Typical High
$0.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$0.17
Typical High
$0.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.07
Median
$0.10
Typical High
$3.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.17
Typical High
$0.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.28
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.15
Typical High
$0.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.08
Typical High
$0.11
United
Setting
Professional
Modifier
Global
Typical Low
$0.05
Median
$0.10
Typical High
$0.17
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.12

Where South Dakota sits

The same service costs 1.9 times more in South Dakota than in Kentucky. 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· 1st of 51

$0.15

SD $0.15KY $0.08

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.