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South Dakota rates for HCPCS 10140

I&D Hematoma Seroma/Fluid Collection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.34 / $2,977.31 / $4,197.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.45 / $144.97 / $380.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.72 / $340.86 / $488.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.76 / $239.41 / $422.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.21 / $404.55 / $1,265.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.82 / $293.60 / $433.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $314.66 / $455.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.65 / $243.76 / $329.27
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
$178.00 / $306.04 / $476.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $261.10 / $369.20