go back

South Dakota rates for HCPCS A4423

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

Facilitymedian $2 · 10th–90th $1–$30%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$1.0$2.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.82 / $4.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.66 / $12.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.82 / $2.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $4.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.57 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.74 / $3.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34