go back

South Dakota rates for HCPCS 11901

Injection Intralesional >7 Lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.78 / $69.08 / $196.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.78 / $65.25 / $166.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $127.58 / $202.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.36 / $99.80 / $180.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.32 / $172.58 / $525.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.00 / $130.72 / $184.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $131.68 / $187.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.08 / $101.28 / $135.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $138.06 / $193.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $97.90 / $152.30