go back

South Dakota rates for HCPCS 15920

Exc Coccygeal Pr Ulc W/Coccygectomy W/Prim Sutr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.37 / $610.37 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.41 / $962.49 / $1,614.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.00 / $1,534.41 / $2,197.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.54 / $1,015.22 / $1,251.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00