go back

South Dakota rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.03 / $753.39 / $753.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.64 / $1,052.21 / $1,785.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.73 / $1,754.55 / $2,440.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.96 / $1,133.13 / $1,498.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00