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South Dakota rates for HCPCS 11626

Excision Malignant Lesion S/N/H/F/G >4.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.67 / $396.35 / $396.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.51 / $369.13 / $501.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.50 / $807.34 / $1,153.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.78 / $569.34 / $1,051.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.86 / $997.70 / $3,004.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.00 / $895.80 / $2,197.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.00 / $764.69 / $1,080.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.08 / $588.89 / $789.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.99 / $727.07 / $1,131.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.79 / $634.70 / $885.70