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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

Facilitymedian $13 · 10th–90th $8–$200%20%10th90th$13Professionalmedian $9 · 10th–90th $7–$180%20%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $19.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $14.45 / $18.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.75 / $67.61
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $24.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.76 / $15.14
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30