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South Dakota rates for HCPCS G0168

Wound closure utilizing tissue adhesive(s) only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.72 / $128.12 / $128.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $24.83 / $133.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $35.31 / $140.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $104.51 / $240.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.35 / $220.96 / $813.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.53 / $145.00 / $231.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $133.00 / $218.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $134.15 / $191.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.95 / $194.36 / $302.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $24.40 / $168.00