go back

South Dakota rates for HCPCS 21501

Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $5,128.61 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $891.25 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $707.95 / $1,000.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $676.08 / $1,258.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,148.15