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South Dakota rates for HCPCS 21933

Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $3,548.13 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $5,370.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,659.59 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,584.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,445.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$281.84 / $281.84 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,288.25 / $1,995.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $1,778.28