go back

South Dakota rates for HCPCS 11043

Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.52 / $225.89 / $1,922.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.01 / $178.16 / $373.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.54 / $425.58 / $660.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.20 / $333.81 / $591.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.50 / $560.23 / $1,725.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.85 / $492.44 / $721.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.24 / $443.18 / $622.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.82 / $336.16 / $450.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.25 / $414.11 / $644.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.89 / $335.10 / $505.60