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South Dakota rates for HCPCS A6219

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Facilitymedian $1 · 10th–90th $1–$30%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.5$1.0$2.0$5.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.45 / $2.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.56 / $7.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.48 / $1.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $2.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.41 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.68 / $1.51
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.20