go back

South Dakota rates for HCPCS 15922

Exc Coccygeal Pr Ulc W/Coccygectomy W/Flap Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.40 / $767.40 / $767.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.04 / $767.40 / $767.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.27 / $1,808.29 / $2,260.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.18 / $1,231.07 / $2,036.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.10 / $1,649.33 / $5,890.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.00 / $1,953.36 / $3,929.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.63 / $1,764.18 / $2,148.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.62 / $1,300.33 / $1,568.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.84 / $1,563.40 / $2,187.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.10 / $1,690.70 / $1,758.40