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South Dakota rates for HCPCS 96922

Excimer laser treatment for psoriasis; over 500 sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $208.93 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $446.68 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $501.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $309.03 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $257.04 / $478.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $346.74