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South Dakota rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Facilitymedian $2 · 10th–90th $1–$30%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$20%20%10th90th$2$1.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.00 / $3.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.17 / $9.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.00 / $2.00
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $3.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.82 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $1.17 / $1.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66