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South Dakota rates for HCPCS 15951

Exc Trchntric Pr Ulcer W/Prim Sutr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.91 / $865.91 / $865.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.22 / $865.91 / $865.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.00 / $2,035.79 / $2,544.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.04 / $1,375.43 / $2,290.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.83 / $1,834.62 / $6,637.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.00 / $2,051.40 / $2,780.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.00 / $1,937.53 / $2,398.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.98 / $1,461.80 / $1,764.74
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
$802.66 / $1,586.57 / $2,468.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.40 / $1,902.80 / $1,978.90