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South Dakota rates for HCPCS 10080

Incision & Drainage Pilonidal Cyst Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.46 / $253.93 / $487.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.04 / $159.55 / $576.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.77 / $300.93 / $718.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $269.47 / $595.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.02 / $446.03 / $1,853.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.36 / $326.14 / $613.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.29 / $322.23 / $577.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.85 / $256.86 / $476.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.25 / $376.49 / $593.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.10 / $231.40 / $534.60