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Pressure Sore Removal With Bone Trim And Flap Prep

South Dakota rates for HCPCS 15958

Cuts out a deep pressure sore along with the dead and scarred tissue around it, and shaves down the bony prominence underneath that has been pressing the skin from within. The wound is then shaped and prepared so it can be closed with a flap of nearby muscle and skin or with a graft. It is done for a long-standing sore that will not heal with dressings alone.

Facilitymedian $1,622 · 10th–90th $1,122$4,3650%20%10th90th$1,622Professionalmedian $1,995 · 10th–90th $1,349$2,5120%10%20%10th90th$1,995$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,691.53
Typical High
$2,691.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,995.26
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28