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South Dakota rates for HCPCS 11920

Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $190.55 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $162.18 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $245.47 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $338.84 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $257.04 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $257.04 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $245.47 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $436.52