go back

South Dakota rates for HCPCS 11047

Debridement Bone Each Additional 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.83 / $113.78 / $113.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.86 / $80.23 / $145.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.28 / $260.02 / $334.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.58 / $165.63 / $320.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.72 / $277.95 / $885.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.90 / $264.20 / $321.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.44 / $255.82 / $323.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $186.95 / $234.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.02 / $240.04 / $336.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.30 / $209.60 / $263.30