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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
$6.48 / $6.48 / $6.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $6.48 / $6.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $15.00 / $18.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $11.63 / $14.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.49 / $11.05 / $13.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $8.09 / $50.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $11.58 / $14.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $11.18 / $17.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $10.16 / $13.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $5.07 / $8.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14