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South Dakota rates for HCPCS A6259

Transparent Film More Than 48 Sq. In. Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.74 / $9.74 / $9.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $9.74 / $10.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $23.00 / $28.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.63 / $17.63 / $22.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.32 / $16.63 / $20.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $12.18 / $76.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.75 / $17.41 / $21.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $16.80 / $25.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $15.28 / $20.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $12.70 / $17.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $13.75 / $13.75