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South Dakota rates for HCPCS A6450

Light Compression Bandage Elastic Knitted/Woven Width Greater Than Or Equal To Five Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $4.50 / $4.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.82 / $7.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.95 / $12.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.78 / $3.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.70 / $3.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.76 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.22 / $2.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21