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South Dakota rates for HCPCS A6453

Self-adherent bandage, elastic, nonknitted/nonwoven, width less than 3 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.89 / $1.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.44 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.95 / $0.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.87 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79