go back

South Dakota rates for HCPCS 14040

Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.75 / $745.64 / $2,789.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.62 / $745.64 / $2,106.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.18 / $1,758.43 / $2,198.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.02 / $1,087.66 / $1,970.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.32 / $1,731.72 / $5,675.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $1,675.40 / $2,329.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.00 / $1,556.18 / $2,016.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.47 / $1,222.64 / $1,489.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.32 / $1,359.11 / $2,114.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.50 / $1,371.00 / $1,669.90