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South Dakota rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Facilitymedian $3 · 10th–90th $3–$60%20%40%10th90th$3Professionalmedian $4 · 10th–90th $2–$70%20%10th90th$4$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $6.03
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.37 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $7.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $5.50 / $9.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.24 / $25.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.50 / $5.50
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $8.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.01 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $3.31 / $5.89
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47