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South Dakota rates for HCPCS A6199

Alginate Or Other Fiber Gelling Dressing Wound Filler Per 6 Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $4.70 / $4.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $5.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $11.00 / $13.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $10.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $8.03 / $10.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $5.89 / $36.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.09 / $8.41 / $10.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $8.11 / $12.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $7.37 / $9.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.68 / $6.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $6.63 / $6.63