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South Dakota rates for HCPCS A6211

Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.17 / $26.17 / $26.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.17 / $26.17 / $28.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $61.00 / $76.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $47.63 / $59.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.40 / $44.64 / $56.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $32.70 / $204.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.02 / $46.75 / $59.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $45.14 / $69.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $41.04 / $54.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $20.47 / $34.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $36.94 / $36.94