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South Dakota rates for HCPCS A6504

Compression burn garment, glove to wrist, custom fabricated

Facilitymedian $89 · 10th–90th $89–$2450%50%90th$89Professionalmedian $89 · 10th–90th $89–$5130%50%90th$89$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $151.36 / $181.97
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54