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South Dakota rates for HCPCS A6511

Compression burn garment, lower trunk including leg openings (panty), 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
$196.48 / $196.48 / $196.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.13 / $3.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.20 / $294.01 / $294.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.80 / $244.80 / $244.80