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South Dakota rates for HCPCS 15260

Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.83 / $981.53 / $981.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.11 / $927.90 / $1,631.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.34 / $2,313.15 / $2,891.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.90 / $1,425.38 / $2,558.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.11 / $2,306.23 / $7,470.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.00 / $2,092.19 / $2,616.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.00 / $2,057.10 / $2,654.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.19 / $1,640.50 / $1,955.58
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
$1,099.11 / $1,998.40 / $2,800.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.60 / $1,855.60 / $2,192.90