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South Dakota rates for HCPCS A6196

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $6.56 / $6.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $7.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $15.50 / $19.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $15.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $11.17 / $14.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $8.19 / $51.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.29 / $11.73 / $14.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $11.31 / $17.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $10.28 / $13.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $5.13 / $8.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $9.25 / $9.25