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South Dakota rates for HCPCS A6453

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

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%10%20%10th90th$1$0.5$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.89 / $1.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.37 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $0.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.87 / $1.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.44 / $1.00
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79