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South Dakota rates for HCPCS Q4229

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

Facilitymedian $457 · 10th–90th $457$5620%50%90th$457Professionalmedian $457 · 10th–90th $331$7590%20%40%10th90th$457$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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,258.93
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$602.56
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
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09