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South Dakota rates for HCPCS 15940

Exc Ischial Pressure Ulcer W/Primary Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.07 / $670.07 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.12 / $1,078.86 / $1,815.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.00 / $1,725.01 / $2,197.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.05 / $1,162.72 / $1,396.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00