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South Dakota rates for HCPCS A6205

Composite dressing, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.73 / $12.68 / $15.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30