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South Dakota rates for HCPCS A6203

Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $5.01 / $6.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.34 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $5.13 / $5.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $8.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.01 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.00 / $4.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27