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South Dakota rates for HCPCS 12042

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.29 / $309.27 / $784.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $270.37 / $507.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.13 / $559.98 / $894.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.00 / $429.50 / $742.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.33 / $713.83 / $2,310.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.85 / $478.65 / $800.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.51 / $550.47 / $833.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.04 / $427.70 / $599.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.08 / $542.03 / $843.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.40 / $428.70 / $671.70