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South Dakota rates for HCPCS 15935

Exc Sacral Pr Ulcer W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.08 / $1,107.08 / $1,107.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.85 / $1,107.08 / $1,107.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,366.84 / $2,604.53 / $3,255.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.74 / $1,774.82 / $2,930.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.65 / $2,302.84 / $8,517.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.00 / $2,824.68 / $3,929.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.37 / $2,484.73 / $3,108.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.39 / $1,859.36 / $2,266.73
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
$1,178.20 / $2,043.88 / $3,179.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.40 / $2,444.00 / $2,541.80