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South Dakota rates for HCPCS 15950

Exc Trochanteric Pressure Ulcer W/Primary Sutr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.46 / $614.46 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.74 / $614.46 / $614.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.17 / $1,448.35 / $1,810.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.83 / $960.04 / $1,617.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.16 / $1,230.35 / $4,710.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.00 / $1,357.37 / $1,706.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.00 / $1,357.37 / $1,643.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.58 / $981.12 / $1,253.05
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
$629.49 / $1,207.53 / $1,671.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.40 / $1,351.10 / $1,405.10