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Ostomy Pouch, Drainable, with Barrier Attached, (One Piece)

South Dakota rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $3$70%20%10th90th$5Professionalmedian $5 · 10th–90th $3$70%10%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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.39
Typical High
$6.76
Avera
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$7.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$5.37
Typical High
$9.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.16
Typical High
$24.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.37
Typical High
$5.37
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$8.91
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.90
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.29
Typical High
$3.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$3.31
Typical High
$5.75
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07