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South Dakota rates for HCPCS 17263

Destruction Malignant Lesion Trunk/Arm/Leg 2.1-3.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.16 / $192.35 / $192.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.16 / $178.59 / $246.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.88 / $350.60 / $560.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.99 / $274.39 / $490.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.36 / $472.18 / $1,445.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.00 / $341.10 / $508.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.49 / $362.44 / $515.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.57 / $279.73 / $375.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.52 / $373.71 / $539.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $267.70 / $420.70