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South Dakota rates for HCPCS A6214

Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $9.17 / $9.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $9.17 / $9.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $21.50 / $26.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $16.50 / $20.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $15.64 / $19.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $11.45 / $71.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.77 / $16.39 / $20.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.16 / $15.83 / $24.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $14.39 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $11.45 / $11.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $12.95 / $12.95