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South Dakota rates for HCPCS Q4143

Repriza, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $34 · 10th–90th $33$580%50%10th90th$34Professionalmedian $33 · 10th–90th $33$440%50%90th$33$50.0$100.0$200.0

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
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $57.54 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $40.74 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $57.54 / $67.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $112.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $239.88
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88