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South Dakota rates for HCPCS A6245

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $6.03 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $14.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $10.47 / $13.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.13 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.22 / $11.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $18.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.23 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.27 / $10.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12