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South Dakota rates for HCPCS 11042

Debridement Subcutaneous Tissue 1st 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.52 / $683.12 / $1,171.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $82.23 / $322.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.53 / $170.43 / $374.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.41 / $160.72 / $554.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.25 / $289.58 / $963.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.40 / $259.27 / $403.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.84 / $183.54 / $347.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.08 / $142.12 / $250.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.49 / $208.49 / $353.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.90 / $132.00 / $280.70