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South Dakota rates for HCPCS A6457

Tubular dressing with or without elastic, any width, per linear yd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $1.01 / $1.09
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
$1.50 / $1.73 / $2.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $1.27 / $7.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.81 / $2.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.75 / $2.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.59 / $2.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.79 / $1.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43