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South Dakota rates for HCPCS 17250

Chemical cauterization of granulation tissue (ie, proud flesh)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.73 / $355.32 / $540.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $72.15 / $218.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $106.15 / $247.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.72 / $96.76 / $206.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $197.18 / $644.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.38 / $119.00 / $213.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.76 / $114.71 / $222.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.50 / $114.56 / $164.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.04 / $141.97 / $238.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $82.00 / $184.30