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South Dakota rates for HCPCS 17340

Cryotherapy Co2 Slush Liquid N2 Acne

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $44.65 / $78.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.95 / $120.76 / $150.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.61 / $127.00 / $393.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $113.01 / $147.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $85.29 / $102.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.01 / $93.74 / $145.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.70 / $107.40 / $115.30