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South Dakota rates for HCPCS 17264

Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.04 / $206.03 / $206.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.04 / $178.99 / $261.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.39 / $374.94 / $601.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.93 / $295.98 / $528.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.80 / $504.30 / $1,548.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.51 / $324.37 / $544.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.50 / $388.43 / $552.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.32 / $300.47 / $403.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.19 / $371.57 / $578.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.80 / $287.30 / $451.90