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South Dakota rates for HCPCS A6251

Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $4.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.02 / $3.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $2.22 / $13.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.16 / $4.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.06 / $4.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.78 / $3.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $2.22 / $2.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50