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South Dakota rates for HCPCS 22903

Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $3,019.95 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,000.00 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $724.44 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $758.58 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $870.96
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
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $831.76 / $1,174.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,047.13