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South Dakota rates for HCPCS 11622

Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.80 / $251.31 / $251.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.25 / $237.09 / $326.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.18 / $531.71 / $731.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.26 / $359.48 / $658.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.67 / $633.98 / $1,889.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.50 / $418.60 / $673.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.00 / $473.45 / $673.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.84 / $366.07 / $491.00
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
$278.95 / $456.46 / $715.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.39 / $370.00 / $550.60