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South Dakota rates for HCPCS 10121

Incision & Removal Foreign Body Subq Tiss Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.41 / $260.51 / $3,897.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.65 / $244.13 / $334.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.07 / $520.04 / $759.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.22 / $374.04 / $706.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.89 / $675.43 / $1,967.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.90 / $578.59 / $1,311.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.00 / $491.78 / $709.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.97 / $383.43 / $514.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.89 / $487.26 / $757.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.00 / $402.60 / $576.70