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South Dakota rates for HCPCS 11012

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, muscle, and bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $2,818.38 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $616.60 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $851.14 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,380.38 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,380.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $912.01 / $1,737.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,412.54