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South Dakota rates for HCPCS 17003

Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $92.87 / $948.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $15.89 / $87.98
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$0.88 / $2.93 / $3.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $5.84 / $19.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $9.71 / $23.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $14.04 / $185.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $11.00 / $16.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $12.28 / $19.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $9.27 / $12.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $11.05 / $17.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.40 / $14.50