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South Dakota rates for HCPCS 11403

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $1,548.82 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $257.04 / $489.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $380.19 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $338.84 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $436.52