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South Dakota rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $3,388 · 10th–90th $2,138–$4,3650%20%10th90th$3,388Professionalmedian $3,890 · 10th–90th $2,692–$4,7860%20%10th90th$3,890$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,388.44 / $5,754.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,248.07 / $5,248.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,801.89 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53