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South Dakota rates for HCPCS 96904

Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $79.51 / $115.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.66 / $143.72 / $177.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.17 / $124.56 / $459.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.13 / $130.97 / $162.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.22 / $109.13 / $128.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.40 / $123.52 / $145.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.70 / $117.30 / $121.90