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South Dakota rates for HCPCS 17262

Destruction Malignant Lesion Trunk/Arm/Leg 1.1-2.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.91 / $178.01 / $178.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.91 / $162.53 / $414.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.04 / $318.45 / $519.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.37 / $246.91 / $449.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.31 / $400.30 / $1,335.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.00 / $307.48 / $469.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.15 / $332.75 / $476.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.16 / $257.08 / $346.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.31 / $358.18 / $496.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $242.30 / $388.10