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South Dakota rates for HCPCS 26115

Exc Tum/Vasc Mal Sft Tiss Hand/Fngr Subq <1.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.52 / $572.26 / $3,343.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.95 / $534.59 / $1,240.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.46 / $969.01 / $1,590.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.00 / $781.48 / $1,295.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.66 / $1,177.09 / $4,083.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.66 / $1,062.42 / $1,706.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.44 / $890.66 / $1,341.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.22 / $688.37 / $1,070.61
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
$548.66 / $961.27 / $1,495.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.90 / $811.10 / $1,299.50