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South Dakota rates for HCPCS 12013

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $503.81 / $982.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.89 / $115.51 / $326.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.30 / $152.90 / $330.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.73 / $165.15 / $310.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.45 / $280.58 / $1,006.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.19 / $258.27 / $307.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.91 / $235.73 / $316.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.13 / $169.29 / $227.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.95 / $175.76 / $317.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.60 / $125.50 / $254.60