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South Dakota rates for HCPCS 17106

Destruction Cutaneous Vasc Proliferative <10cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.55 / $339.31 / $339.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.77 / $317.07 / $520.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.85 / $797.60 / $1,002.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.97 / $501.69 / $880.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.90 / $846.55 / $2,580.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.85 / $685.91 / $897.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.71 / $691.08 / $897.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.08 / $542.75 / $675.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.48 / $615.01 / $956.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.40 / $608.60 / $757.30