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South Dakota rates for HCPCS 11402

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.60 / $1,539.48 / $3,040.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.07 / $161.72 / $458.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.84 / $334.04 / $498.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.59 / $249.50 / $439.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.16 / $361.91 / $1,282.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.42 / $286.92 / $437.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.98 / $315.81 / $437.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.29 / $240.70 / $333.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.44 / $328.08 / $475.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.10 / $254.60 / $374.30