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South Dakota rates for HCPCS A5122

Skin barrier; solid, 8 x 8 or equivalent, each

Facilitymedian $13 · 10th–90th $11$250%20%10th90th$13Professionalmedian $14 · 10th–90th $9$240%10%10th90th$14$10.0$20.0$50.0$100.0

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
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.96
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$25.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.05
Typical High
$33.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$11.48
Typical High
$89.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$19.95
Midlands
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$32.36
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$17.78
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$20.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22