go back

South Dakota rates for HCPCS 15933

Excision, sacral pressure ulcer, with primary suture; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,949.84 / $1,949.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53