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South Dakota rates for HCPCS A4434

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

Facilitymedian $4 · 10th–90th $3–$60%20%40%10th90th$4Professionalmedian $4 · 10th–90th $2–$80%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 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.75 / $9.77
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.31 / $26.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.75 / $5.75
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $9.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.25 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $3.47 / $6.17
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68