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South Dakota rates for HCPCS 17250

Chemical cauterization of granulation tissue (ie, proud flesh)

Facilitymedian $355 · 10th–90th $85–$5370%10%20%10th90th$355Professionalmedian $87 · 10th–90th $31–$2190%10%10th90th$87$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $354.81 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $81.28 / $218.78
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $43.65 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $251.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $93.33 / $204.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $165.96 / $645.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $186.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $162.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $114.82 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $91.20 / $199.53
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $81.28 / $186.21