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South Dakota rates for HCPCS 21930

Excision Tumor Soft Tissue Back/Flank Subq <3cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.90 / $510.28 / $510.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.68 / $434.81 / $690.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.65 / $1,028.41 / $1,428.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.46 / $720.92 / $1,168.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.00 / $1,087.97 / $3,716.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.23 / $1,087.97 / $1,664.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.58 / $910.22 / $1,265.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.73 / $721.94 / $981.35
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
$509.14 / $925.70 / $1,361.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.20 / $876.30 / $1,191.09