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South Dakota rates for HCPCS 13100

Repair, complex, trunk; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.89 / $340.23 / $340.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.16 / $290.22 / $399.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.58 / $568.74 / $978.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $461.11 / $858.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.02 / $827.38 / $2,529.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.44 / $610.07 / $911.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.00 / $610.07 / $921.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.31 / $476.54 / $656.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.02 / $617.05 / $959.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.10 / $438.10 / $736.30