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Ostomy Pouch, Urinary, Barrier with Convexity, Faucet Tap

South Dakota rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, Barrier with Convexity, Faucet Tap cost?

$9.55

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $13.18 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$9.55$7.59 to $12.59
FacilityA hospital or hospital-owned outpatient department$13.18$8.32 to $13.18

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $21Professionalmedian $10 · 10th to 90th $5 to $15
$5$10$20$50facility $13professional $10

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
$8.32
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$10.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$12.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$13.49
Typical High
$16.98
Medica
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$13.18
Typical High
$21.38
Medica
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$6.61
Typical High
$57.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.88
Midlands
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$20.89
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$11.48
Typical High
$13.49
United
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$5.37
Typical High
$8.71
Wellmark
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.33

Where South Dakota sits

The same service costs 2.1 times more in Idaho than in Connecticut. 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· 14th of 51

$9.55

ID $12.30CT $5.75

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.