go back

South Dakota rates for HCPCS 15953

Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,344.23 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,778.28 / $7,413.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,290.87 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,698.24 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,737.80 / $2,754.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,238.72