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South Dakota rates for HCPCS 11005

Dbrdmt Skn Subq T/M/F Necro Infctj Abdl Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.48 / $696.48 / $696.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.81 / $1,128.64 / $2,044.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.57 / $1,750.52 / $2,392.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.82 / $1,295.14 / $1,489.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00