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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

South Dakota rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap cost?

$8.71

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $9.77 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$8.32$6.17 to $10.47
FacilityA hospital or hospital-owned outpatient department$9.77$6.61 to $10.47

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $13Professionalmedian $8 · 10th to 90th $6 to $13
$5$10$20$50facility $10professional $8

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
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$13.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.00
Typical High
$16.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.75
Typical High
$45.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.00
Typical High
$10.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$16.22
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.12
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.03
Typical High
$10.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41

Where South Dakota sits

The same service costs 2.3 times more in Kansas than in Colorado. 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· 5th of 51

$8.71

KS $10.72CO $4.57

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.