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South Dakota rates for HCPCS A6454

Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$0.5$1.0$2.0$5.0

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 / $2.00
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
$0.76 / $1.17 / $1.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.46 / $5.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.20 / $1.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.95 / $1.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.10 / $1.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.55 / $1.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00