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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
$67.61 / $426.58 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $177.83 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $269.15 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $120.23 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $245.47 / $933.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $257.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $128.82 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $134.90 / $309.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $269.15