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South Dakota rates for HCPCS 96920

Excimer laser treatment for psoriasis; total area less than 250 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $173.78 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $147.91 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $194.98 / $363.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $295.12 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $144.54 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $316.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $218.78 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $144.54 / $331.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $257.04