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South Dakota rates for HCPCS A6456

Zinc Paste Impregnated Bandage Non-Elastic Knitted/Woven Width Greater Than Or Equal To Three Inches And Less Than Five Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.95 / $2.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.41 / $8.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $2.00 / $2.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.93 / $2.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.75 / $2.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.88 / $1.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58