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South Dakota rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Facilitymedian $3 · 10th–90th $2–$60%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$70%20%10th90th$3$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $6.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.90 / $8.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.82 / $21.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.90 / $4.90
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.76 / $7.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.37 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.88 / $5.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98