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South Dakota rates for HCPCS 96934

Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, each additional lesion (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.39 / $133.65 / $133.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.85 / $253.46 / $312.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.31 / $185.42 / $767.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.42 / $221.37 / $314.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.64 / $194.11 / $228.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $176.25 / $235.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.80 / $208.00 / $216.30