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South Dakota rates for HCPCS A6212

Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $8.65 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $8.65 / $9.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $25.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $15.75 / $19.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.69 / $14.74 / $18.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $10.81 / $67.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $15.47 / $19.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $14.93 / $22.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $14.39 / $17.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $6.77 / $11.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21