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South Dakota rates for HCPCS 15931

Excision Sacral Pressure Ulcer W/Primary Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.32 / $662.32 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.53 / $1,064.73 / $1,778.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.00 / $1,706.97 / $2,197.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.24 / $1,142.99 / $1,385.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00