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South Dakota rates for HCPCS 12041

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.96 / $982.40 / $1,179.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.50 / $236.00 / $658.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.60 / $414.87 / $760.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.29 / $352.47 / $623.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.81 / $587.00 / $1,960.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.18 / $392.15 / $674.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.00 / $439.03 / $702.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.21 / $363.53 / $508.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.27 / $469.60 / $709.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.89 / $319.20 / $570.20