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South Dakota rates for HCPCS A6233

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $16.98 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $27.54 / $36.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $13.49 / $134.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $29.51 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $47.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.92 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.48 / $26.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99