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South Dakota rates for HCPCS Q4153

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

Facilitymedian $138 · 10th–90th $138$1820%50%90th$138Professionalmedian $138 · 10th–90th $132$2190%50%10th90th$138$50.0$100.0$200.0$500.0$1.0K

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
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$154.88
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$269.15
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04