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South Dakota rates for HCPCS 12017

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $147.91 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $331.13 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $234.42 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $269.15 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $346.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $263.03 / $416.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $331.13