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South Dakota rates for HCPCS 11642

Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.38 / $265.63 / $265.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.49 / $251.56 / $422.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.84 / $517.13 / $774.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.53 / $380.69 / $697.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.51 / $670.40 / $1,998.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.39 / $449.05 / $713.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.00 / $500.39 / $713.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.57 / $388.49 / $520.75
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
$294.98 / $537.91 / $756.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.89 / $397.50 / $583.90