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South Dakota rates for HCPCS 96920

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

Facilitymedian $174 · 10th–90th $69–$4,3650%10%20%10th90th$174Professionalmedian $148 · 10th–90th $65–$2750%10%10th90th$148$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $173.78 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $147.91 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $165.96 / $389.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $194.98 / $363.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $316.23 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $144.54 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $316.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $218.78 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $141.25 / $316.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $257.04