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South Dakota rates for HCPCS 10121

Incision and removal of foreign body, subcutaneous tissues; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $269.15 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $331.13 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $537.03 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $426.58 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $562.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $676.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $575.44