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South Dakota rates for HCPCS 11403

Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 2.1-3.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.68 / $195.61 / $1,562.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.06 / $171.68 / $542.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.48 / $431.43 / $571.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.18 / $281.27 / $491.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.17 / $438.73 / $1,475.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.76 / $365.99 / $506.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $374.71 / $506.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.29 / $295.63 / $386.20
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
$226.38 / $522.57 / $545.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.89 / $331.50 / $433.10