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South Dakota rates for HCPCS 11983

Removal with reinsertion, non-biodegradable drug delivery implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.17 / $136.51 / $7,420.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.13 / $206.45 / $527.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.35 / $280.48 / $395.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.01 / $200.99 / $582.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $419.20 / $1,303.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.09 / $341.87 / $441.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.61 / $349.00 / $524.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.51 / $241.15 / $372.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.54 / $284.56 / $463.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.80 / $224.90 / $308.30