go back

South Dakota rates for HCPCS A6241

Hydrocolloid dressing, wound filler, dry form, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.13 / $5.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.91 / $4.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $2.86 / $17.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $4.09 / $5.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.95 / $6.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.59 / $4.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.79 / $2.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23