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South Dakota rates for HCPCS Q4261

Tag, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.84 / $723.84 / $723.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $723.84 / $723.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.84 / $1,003.10 / $1,223.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $2,750.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.33 / $869.33 / $869.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $796.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.84 / $723.84 / $723.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $723.84