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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

Facilitymedian $5 · 10th–90th $3–$70%20%10th90th$5Professionalmedian $3 · 10th–90th $2–$60%20%10th90th$3$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $7.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $5.13 / $6.46
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.00 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $8.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.01 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.34 / $5.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27