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South Dakota rates for HCPCS 11921

Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $218.78 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $281.84 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $389.05 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $302.00 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $512.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $478.63