go back

South Dakota rates for HCPCS 17111

Destruction Benign Lesions 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.81 / $133.12 / $133.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.37 / $124.09 / $307.14
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$35.86 / $57.83 / $66.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.11 / $245.42 / $388.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.03 / $182.00 / $336.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.28 / $296.62 / $993.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $227.82 / $348.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.81 / $248.19 / $348.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.99 / $189.36 / $258.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.28 / $237.96 / $370.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.19 / $185.00 / $289.39