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South Dakota rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one 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
$5.25 / $5.25 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $5.50
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
$3.39 / $5.37 / $9.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.16 / $24.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.37 / $5.37
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $8.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.90 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $3.31 / $5.75
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47