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South Dakota rates for HCPCS 13151

Repair Complex Eyelid/Nose/Ear/Lip 1.1-2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.70 / $419.86 / $2,707.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.73 / $375.70 / $685.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.23 / $784.94 / $1,210.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.95 / $595.83 / $1,087.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.59 / $1,040.83 / $5,940.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.51 / $771.48 / $1,137.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.91 / $781.97 / $1,143.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.93 / $608.66 / $816.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.59 / $767.03 / $1,193.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.10 / $605.70 / $915.50