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South Dakota rates for HCPCS 15650

Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $537.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $467.74 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,000.00 / $3,981.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $870.96 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,047.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $776.25 / $1,258.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,202.26