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South Dakota rates for HCPCS A6502

Compression Burn Garment Chin Strap Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $111.37 / $111.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.30 / $169.00 / $169.00