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South Dakota rates for HCPCS A6266

Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.92 / $3.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $2.14 / $13.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.04 / $3.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.94 / $4.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.94 / $3.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $2.23 / $3.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40