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South Dakota rates for HCPCS 14000

Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.84 / $621.95 / $6,931.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.56 / $575.71 / $814.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.01 / $1,437.44 / $1,829.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.21 / $901.95 / $1,601.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.85 / $1,528.38 / $4,718.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.00 / $1,463.14 / $1,962.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.00 / $1,291.28 / $1,691.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.89 / $993.64 / $1,248.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.62 / $1,222.70 / $1,742.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.70 / $1,114.20 / $1,400.00