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Repriza

South Dakota rates for HCPCS Q4143

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

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $34$600%50%90th$34Professionalmedian $34 · 10th–90th $34$1260%50%90th$34$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
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$43.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$57.54
Typical High
$67.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$112.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88