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South Dakota rates for HCPCS 96922

Excimer Laser Tx Psoriasis >500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $225.32 / $338.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.71 / $263.88 / $499.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.75 / $476.84 / $1,494.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.08 / $350.91 / $591.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.87 / $309.88 / $403.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.42 / $464.02 / $517.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $170.30 / $346.20