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South Dakota rates for HCPCS 12020

Treatment of superficial wound dehiscence; simple closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.42 / $297.00 / $297.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.94 / $248.83 / $336.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.92 / $534.66 / $859.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $422.82 / $722.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.91 / $691.93 / $2,223.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.25 / $574.51 / $791.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.18 / $528.55 / $810.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.88 / $404.03 / $580.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.12 / $528.67 / $822.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.10 / $414.90 / $651.40