go back

South Dakota rates for HCPCS A6234

Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $5.84 / $5.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $5.84 / $6.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $13.50 / $16.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.50 / $13.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.94 / $12.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $7.28 / $45.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $10.42 / $13.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $10.07 / $15.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $9.15 / $12.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $4.55 / $7.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $8.24