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South Dakota rates for HCPCS 17107

Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.47 / $440.09 / $440.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.06 / $385.57 / $541.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.54 / $1,043.02 / $1,305.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.09 / $651.61 / $1,141.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.73 / $1,067.58 / $3,657.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.16 / $893.38 / $1,161.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.21 / $928.95 / $1,161.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.60 / $707.84 / $877.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.44 / $854.06 / $1,248.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.60 / $793.60 / $984.40