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South Dakota rates for HCPCS 15787

Abrasion Each Additional 4 Lesions Or Less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $26.00 / $30.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.14 / $63.01 / $86.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.42 / $110.01 / $489.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.13 / $59.00 / $102.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $49.49 / $80.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $74.72 / $114.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.00 / $65.30