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South Dakota rates for HCPCS 13120

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.18 / $354.43 / $354.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.18 / $301.75 / $414.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.36 / $655.42 / $1,018.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.02 / $500.87 / $898.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.32 / $865.23 / $2,637.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.00 / $651.07 / $950.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.00 / $651.07 / $960.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.23 / $497.26 / $683.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.32 / $643.10 / $1,000.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.90 / $502.70 / $766.70