go back

South Dakota rates for HCPCS 11772

Excision of pilonidal cyst or sinus; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $4,365.16 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,348.96 / $1,621.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53