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South Dakota rates for HCPCS 21603

Excision Ch Wal Tum W/Rib W/Medstnl Lymphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.21 / $1,617.21 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.02 / $1,617.21 / $2,591.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,848.15 / $3,627.49 / $4,534.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.11 / $2,579.37 / $3,729.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.82 / $3,386.94 / $12,150.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,995.43 / $3,938.34 / $5,220.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.92 / $3,938.34 / $4,620.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,124.58 / $2,858.56 / $3,259.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.82 / $3,055.07 / $4,752.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,233.10 / $3,955.80 / $3,955.80