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South Dakota rates for HCPCS 15941

Exc Ischial Pr Ulc W/Prim Sutr W/Ostc Ischiect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.94 / $894.94 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.82 / $894.94 / $894.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.42 / $2,144.08 / $2,680.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.99 / $1,460.10 / $2,367.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.91 / $1,878.73 / $6,837.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.00 / $2,103.33 / $2,885.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.00 / $2,055.71 / $2,480.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.28 / $1,498.08 / $1,860.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.71 / $1,617.98 / $2,516.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.10 / $2,006.00 / $2,086.30