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Biovance

South Dakota rates for HCPCS Q4154

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

Rates data updated July 2026.

Facilitymedian $141 · 10th–90th $132$4470%20%40%10th90th$141Professionalmedian $135 · 10th–90th $132$3800%50%10th90th$135$100.0$200.0$500.0$1.0K$2.0K

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
$131.83
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$169.82
Typical High
$169.82
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83