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South Dakota rates for HCPCS 11404

Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 3.1-4.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.37 / $220.93 / $220.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.33 / $194.93 / $367.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.68 / $471.36 / $645.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.03 / $317.69 / $556.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.08 / $534.20 / $1,665.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.00 / $502.64 / $1,311.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.86 / $422.93 / $575.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.34 / $325.39 / $437.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.05 / $397.49 / $618.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.20 / $364.90 / $491.10