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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
$263.03 / $416.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $371.54 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $524.81 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $831.76 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $630.96 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $602.56 / $1,023.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $954.99