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South Dakota rates for HCPCS 12045

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.01 / $408.67 / $408.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.00 / $580.89 / $1,038.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.51 / $771.48 / $1,067.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.93 / $553.94 / $800.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00