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South Dakota rates for HCPCS A6507

Compression Burn Garment Foot To Knee Length Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $343.00 / $428.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.25 / $230.25 / $287.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $3.43 / $5.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.76 / $45.76 / $45.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.10 / $38.10 / $38.10