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South Dakota rates for HCPCS A6259

Transparent film, sterile, more than 48 sq in, each dressing

Facilitymedian $15 · 10th–90th $9–$230%20%10th90th$15Professionalmedian $10 · 10th–90th $8–$200%20%10th90th$10$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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.60 / $20.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.46 / $75.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $27.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $15.14 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $16.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80