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South Dakota rates for HCPCS 12035

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.34 / $383.20 / $6,577.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.37 / $343.49 / $472.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.99 / $675.87 / $1,113.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.27 / $547.82 / $979.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.97 / $937.33 / $2,874.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.18 / $589.46 / $1,024.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.29 / $717.87 / $1,052.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.08 / $552.50 / $755.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.97 / $691.07 / $1,075.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.80 / $529.50 / $847.30