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South Dakota rates for HCPCS 12036

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.25 / $421.85 / $421.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.65 / $372.76 / $704.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.90 / $782.02 / $1,233.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $608.37 / $1,074.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.31 / $1,031.28 / $3,189.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.51 / $684.84 / $1,130.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.00 / $794.50 / $1,166.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.88 / $610.61 / $845.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.76 / $767.14 / $1,193.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.30 / $619.50 / $948.10