go back

South Dakota rates for HCPCS 15151

Cltr Skin Agrft T/A/L Addl 1 Cm-75 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.97 / $107.54 / $107.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.68 / $97.97 / $107.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.74 / $252.43 / $315.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.08 / $173.10 / $311.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.54 / $265.89 / $1,010.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.00 / $259.81 / $339.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.59 / $259.83 / $320.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.55 / $196.31 / $230.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.54 / $206.71 / $319.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.30 / $236.50 / $259.00