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South Dakota rates for HCPCS 97602

Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.24 / $409.78 / $426.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.53 / $45.88 / $96.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $66.55 / $82.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.64 / $122.79 / $302.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.99 / $74.48 / $568.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.85 / $103.51 / $197.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $94.14 / $165.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.65 / $68.65 / $68.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.99 / $76.70 / $106.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.70 / $198.70 / $198.70