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South Dakota rates for HCPCS 17000

Destruction Premalignant Lesion 1st

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.55 / $128.87 / $497.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.08 / $67.65 / $162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.11 / $159.72 / $199.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.98 / $99.15 / $172.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.29 / $132.61 / $506.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $140.00 / $173.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $139.41 / $173.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.11 / $107.39 / $132.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $132.18 / $183.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.40 / $120.40 / $148.69