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South Dakota rates for HCPCS 11011

Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.26 / $485.16 / $485.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.77 / $696.77 / $1,354.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.84 / $894.00 / $1,341.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.49 / $721.52 / $967.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00