go back

South Dakota rates for HCPCS 15852

Dressing Change Under Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.33 / $42.33 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.43 / $42.33 / $67.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.50 / $97.39 / $121.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.09 / $72.86 / $190.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.26 / $97.63 / $622.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.26 / $106.06 / $143.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $106.06 / $146.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $75.45 / $86.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.36 / $81.73 / $127.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $92.80 / $96.50