go back

South Dakota rates for HCPCS 13152

Repair Complex Eyelid/Nose/Ear/Lip 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.29 / $1,145.70 / $3,944.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.63 / $518.37 / $1,071.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.99 / $942.71 / $1,417.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $717.44 / $1,275.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.12 / $1,248.58 / $3,692.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.51 / $855.00 / $1,331.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.99 / $928.82 / $1,340.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.60 / $735.98 / $956.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.37 / $909.04 / $1,414.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.70 / $727.60 / $1,072.90