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South Dakota rates for HCPCS 21015

Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.82 / $697.82 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.45 / $697.82 / $1,667.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.55 / $1,582.35 / $1,977.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.87 / $1,017.23 / $1,847.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.12 / $1,452.99 / $5,179.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.57 / $1,718.14 / $2,824.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.04 / $1,467.02 / $1,875.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.60 / $1,177.81 / $1,375.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.12 / $1,280.02 / $1,942.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.00 / $1,670.10 / $1,670.10