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South Dakota rates for HCPCS 11771

Excision of pilonidal cyst or sinus; extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.86 / $3,417.07 / $12,761.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.72 / $830.58 / $1,467.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.99 / $1,397.38 / $2,197.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $886.25 / $1,221.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00