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South Dakota rates for HCPCS 11770

Excision Pilonidal Cyst/Sinus Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $2,612.15 / $9,884.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.35 / $438.68 / $826.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.14 / $637.61 / $2,197.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.52 / $407.43 / $674.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00