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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
$125.89 / $204.17 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $257.04 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $407.38 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $309.03 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $416.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $288.40 / $501.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $457.09