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South Dakota rates for HCPCS A6443

Conforming Bandage Non-Elastic Knitted/Woven Non-Sterile Width Greater Than Or Equal To Three Inches And Less Than Five Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.44 / $0.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.31 / $1.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.44 / $0.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.43 / $0.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.39 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.19 / $0.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35