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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 October 2026.

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

$7.59

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $10.47 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.59$6.03 to $10.00
FacilityA hospital or hospital-owned outpatient department$10.47$6.61 to $10.47

How much rates vary

Facilitymedian $10 · 10th to 90th $6 to $17Professionalmedian $8 · 10th to 90th $4 to $12
$5$10$20$50facility $10professional $8

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
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$7.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$10.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.47
Typical High
$13.18
Medica
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$10.47
Typical High
$16.98
Medica
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$5.25
Typical High
$45.71
Midlands
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$16.22
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$9.12
Typical High
$10.47
United
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$4.27
Typical High
$6.92
Wellmark
Setting
Professional
Modifier
None
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 Alabama. 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· 15th of 51

$7.59

KS $10.72AL $4.68

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.