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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

Facilitymedian $14 · 10th–90th $9$210%20%10th90th$14Professionalmedian $9 · 10th–90th $8$190%20%10th90th$9$5.0$10.0$20.0$50.0

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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $20.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $15.49 / $19.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.17 / $72.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $25.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $14.45 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.24 / $16.22
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88