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South Dakota rates for HCPCS 11643

Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.00 / $310.30 / $310.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.90 / $293.55 / $512.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.78 / $641.78 / $904.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.75 / $446.06 / $824.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.88 / $724.10 / $2,345.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.89 / $559.16 / $838.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.78 / $593.27 / $838.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.89 / $457.70 / $613.91
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
$346.35 / $621.24 / $887.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.70 / $497.60 / $688.40