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South Dakota rates for HCPCS A6209

Foam Dressing Wound Cover Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.66 / $6.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $6.66 / $7.14
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
$9.76 / $11.37 / $14.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $8.32 / $51.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $11.89 / $15.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $11.48 / $17.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $11.10 / $13.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.21 / $8.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $9.40