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South Dakota rates for HCPCS 61737

Litt Les Icr Mlt Trajectories Mlt/Cplx Lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.69 / $1,021.69 / $1,021.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.69 / $1,021.69 / $1,103.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.29 / $2,947.34 / $3,684.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.88 / $1,857.84 / $2,583.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.56 / $2,275.35 / $10,159.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.53 / $3,049.70 / $3,360.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.06 / $2,603.48 / $3,316.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.82 / $2,422.31 / $2,849.59
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
$1,266.52 / $2,167.00 / $3,043.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,826.90 / $3,325.80 / $3,458.80