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South Dakota rates for HCPCS A6506

Compression burn garment, glove to axilla, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $67.61 / $100.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72