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South Dakota rates for HCPCS A6505

Compression Burn Garment Glove To Elbow Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $98.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.23 / $126.75 / $134.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.48 / $126.11 / $126.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00