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South Dakota rates for HCPCS A6244

Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $37.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $102.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $79.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.37 / $59.71 / $75.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.87 / $43.73 / $273.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.19 / $62.55 / $78.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.20 / $60.38 / $92.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.78 / $54.89 / $72.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $27.38 / $50.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.40 / $49.40 / $49.40