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South Dakota rates for HCPCS 11954

Subcutaneous injection of filling material (eg, collagen); over 10.0 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.75 / $153.97 / $153.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.39 / $134.74 / $153.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.26 / $307.74 / $457.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.74 / $227.71 / $409.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.16 / $386.03 / $1,179.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.71 / $270.95 / $415.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.00 / $301.45 / $421.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $234.88 / $315.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.85 / $281.79 / $438.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.80 / $244.50 / $353.30