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South Dakota rates for HCPCS 22902

Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $3,090.30 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $616.60 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $851.14 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $758.58 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $891.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $912.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$169.82 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $1,202.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,122.02