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South Dakota rates for HCPCS A5121

Skin barrier; solid, 6 x 6 or equivalent, each

Facilitymedian $8 · 10th–90th $6–$130%20%10th90th$8Professionalmedian $8 · 10th–90th $5–$140%10%20%10th90th$8$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $12.02
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.96 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $11.22 / $19.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.61 / $52.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $11.48
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $18.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.47 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $6.76 / $11.48
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33