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South Dakota rates for HCPCS A6442

Conforming Bandage Non-Elastic Knitted/Woven Non-Sterile Width Less Than Three Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.25 / $0.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.18 / $1.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.18 / $0.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21