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South Dakota rates for HCPCS 17266

Destruction Malignant Lesion Trunk/Arm/Leg > 4.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.21 / $234.36 / $234.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.21 / $203.16 / $296.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $439.22 / $683.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.16 / $336.03 / $598.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.75 / $573.70 / $1,761.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.99 / $380.28 / $620.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.00 / $441.58 / $629.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.16 / $341.47 / $458.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.43 / $422.78 / $657.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.50 / $335.90 / $513.60