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South Dakota rates for HCPCS A5055

Stoma cap

Facilitymedian $1 · 10th–90th $1–$30%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%20%40%90th$1$1.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $2.14 / $3.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.26 / $9.77
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.19 / $2.19
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $3.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.00 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.32 / $2.34
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82