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South Dakota rates for HCPCS 11922

Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $52.48 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $102.33 / $181.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $120.23 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $67.61 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $123.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $85.11 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $72.44 / $151.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $134.90