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South Dakota rates for HCPCS A6452

High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 ft lbs at 50% maximum stretch, width greater than or equal to 3 in and less than 5 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.50 / $12.50 / $15.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.38 / $11.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.72 / $8.98 / $11.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $6.58 / $41.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $9.39 / $11.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $9.06 / $13.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $8.24 / $10.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $4.12 / $7.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $7.42 / $7.42