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South Dakota rates for HCPCS A6262

Wound filler, dry form, per g, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.94 / $0.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.79 / $1.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.72 / $7.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.12 / $1.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.10 / $1.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.43 / $0.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20