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South Dakota rates for HCPCS 15933

Exc Sacral Pressure Ulc W/Prim Sutr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.86 / $824.86 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.02 / $1,326.34 / $2,200.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.00 / $1,969.13 / $2,705.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.69 / $1,410.47 / $1,712.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00