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South Dakota rates for HCPCS 11604

Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.27 / $306.83 / $306.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.53 / $285.47 / $517.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.09 / $695.12 / $894.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.29 / $411.86 / $808.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.01 / $775.68 / $2,312.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.52 / $647.61 / $910.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.15 / $578.72 / $827.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.16 / $450.95 / $604.85
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
$341.30 / $563.27 / $876.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $465.00 / $678.20