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South Dakota rates for HCPCS 15953

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.51 / $968.51 / $968.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.37 / $968.51 / $968.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.61 / $2,279.65 / $2,849.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.11 / $1,553.31 / $2,596.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.40 / $2,096.19 / $7,447.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,469.75 / $3,929.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.00 / $2,229.23 / $2,716.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.09 / $1,651.25 / $1,981.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.38 / $1,783.98 / $2,775.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.00 / $2,136.40 / $2,221.90