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South Dakota rates for HCPCS 15945

Exc Ischial Pr Ulc W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.29 / $978.29 / $978.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.31 / $978.29 / $978.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.56 / $2,303.80 / $2,879.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.23 / $1,569.40 / $2,586.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.15 / $2,057.36 / $7,527.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.06 / $2,250.51 / $2,661.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.06 / $2,250.51 / $2,744.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.21 / $1,648.77 / $2,002.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.59 / $2,009.12 / $2,806.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.90 / $2,158.80 / $2,245.10