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South Dakota rates for HCPCS 97605

Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.08 / $184.43 / $769.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $37.71 / $120.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.67 / $62.81 / $114.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $58.88 / $99.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $44.38 / $268.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.94 / $54.20 / $90.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $52.58 / $82.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $59.80 / $84.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $38.65 / $79.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $38.90 / $69.30