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South Dakota rates for HCPCS 11045

Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $177.83 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $37.15 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.18 / $114.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $47.86 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $79.43 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $60.26 / $93.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $85.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $54.95 / $100.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $53.70 / $87.10