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South Dakota rates for HCPCS A6247

Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Facilitymedian $32 · 10th–90th $21–$490%20%10th90th$32Professionalmedian $22 · 10th–90th $18–$450%20%10th90th$22$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $35.48 / $45.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.13 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $58.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $37.15
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20