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South Dakota rates for HCPCS A6207

Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.55 / $6.55 / $6.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.55 / $7.01
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
$9.59 / $11.16 / $14.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $8.17 / $51.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $11.70 / $14.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $11.29 / $17.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.55 / $10.26 / $13.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $8.52 / $13.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $9.23 / $9.23