go back

South Dakota rates for HCPCS 15650

Transfer Any Pedicle Flap Any Location

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.82 / $533.05 / $533.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.26 / $463.12 / $533.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.30 / $1,156.96 / $1,565.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.22 / $770.12 / $1,307.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.34 / $1,247.84 / $4,012.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.00 / $1,169.03 / $1,913.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.00 / $1,001.84 / $1,355.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.88 / $796.98 / $1,061.56
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
$549.04 / $998.28 / $1,419.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.40 / $893.70 / $1,190.40