go back

South Dakota rates for HCPCS 12031

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $147.91 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $269.15 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $446.68 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $316.23 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $467.74 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $478.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $331.13 / $616.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $562.34