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South Dakota rates for HCPCS A6503

Compression burn garment, facial hood, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.15 / $84.50 / $100.00