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South Dakota rates for HCPCS A4430

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

Facilitymedian $8 · 10th–90th $7–$150%20%40%10th90th$8Professionalmedian $9 · 10th–90th $6–$170%10%20%10th90th$9$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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $15.85
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $17.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $22.39
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.59 / $58.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.18 / $13.18
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $21.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $13.80
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72