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South Dakota rates for HCPCS A6253

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

Facilitymedian $8 · 10th–90th $5–$130%20%10th90th$8Professionalmedian $6 · 10th–90th $5–$120%20%10th90th$6$5.0$10.0$20.0$50.0

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $12.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.80 / $48.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $15.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.33 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.47 / $10.00
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94