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South Dakota rates for HCPCS A6228

Gauze, impregnated, water or normal saline, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.88 / $1.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.57 / $2.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.44 / $12.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.27 / $3.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.18 / $2.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $1.14 / $1.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29