go back

South Dakota rates for HCPCS 12001

Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.44 / $419.63 / $618.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $93.32 / $248.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $184.73 / $268.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.23 / $132.03 / $331.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.65 / $221.93 / $866.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.81 / $205.25 / $247.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.52 / $177.59 / $254.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.69 / $136.01 / $182.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.65 / $161.44 / $251.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.40 / $97.20 / $204.60