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South Dakota rates for HCPCS A6023

Collagen dressing, sterile, size more than 48 sq in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.57 / $169.57 / $169.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.04 / $85.85 / $181.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.50 / $396.50 / $495.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.25 / $308.25 / $385.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.85 / $289.26 / $363.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.93 / $211.86 / $1,324.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.63 / $302.95 / $382.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.20 / $292.49 / $447.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.79 / $265.89 / $351.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.29 / $132.65 / $221.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.31 / $239.31 / $239.31