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South Dakota rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Facilitymedian $4 · 10th–90th $4–$80%20%40%10th90th$4Professionalmedian $5 · 10th–90th $3–$90%20%10th90th$5$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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.94
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.92 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $7.08 / $12.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $4.27 / $32.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $7.24
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $11.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.46 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $4.37 / $7.59
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89