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South Dakota rates for HCPCS 11104

Punch biopsy of skin (including simple closure, when performed); single lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.66 / $126.37 / $982.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $127.38 / $332.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.73 / $130.50 / $359.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.89 / $119.94 / $296.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $281.44 / $928.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.25 / $215.16 / $334.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.90 / $220.68 / $334.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.52 / $128.09 / $238.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.81 / $247.88 / $355.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $101.60 / $267.70