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South Dakota rates for HCPCS A6240

Hydrocolloid dressing, wound filler, paste, sterile, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $10.91 / $10.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $10.91 / $11.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.50 / $25.50 / $31.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $19.88 / $24.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.01 / $18.60 / $23.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $13.63 / $85.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.77 / $19.51 / $24.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $18.82 / $28.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $17.11 / $22.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $8.53 / $14.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $15.40 / $15.40