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South Dakota rates for HCPCS A6011

Collagen based wound filler, gel/paste, per g of collagen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $3.47 / $4.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $15.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.65 / $4.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.51 / $5.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.19 / $4.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87