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South Dakota rates for HCPCS A6231

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing

Facilitymedian $6 · 10th–90th $4–$100%20%10th90th$6Professionalmedian $4 · 10th–90th $3–$90%20%40%10th90th$4$2.0$5.0$10.0$20.0

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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $7.08 / $8.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.75 / $32.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.24 / $7.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $11.75 / $11.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.61 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $7.41
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89