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South Dakota rates for HCPCS A6509

Compression Burn Garment Upper Trunk To Waist Including Arm Openings (Vest) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.13 / $3.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.07 / $402.57 / $402.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.20 / $335.20 / $335.20