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South Dakota rates for HCPCS 15934

Excision Sacral Pressure Ulcer W/Skin Flap Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.04 / $897.04 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.86 / $897.04 / $897.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.97 / $2,217.32 / $2,771.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.38 / $1,511.55 / $2,419.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.09 / $1,934.72 / $7,262.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.00 / $2,408.50 / $3,929.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.38 / $2,128.96 / $2,552.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.95 / $1,549.71 / $1,931.64
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
$989.86 / $1,660.37 / $2,582.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.30 / $2,082.69 / $2,166.00