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South Dakota rates for HCPCS 13152

Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,288.25 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $489.78 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $691.83 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,000.00 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $794.33 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,023.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $1,258.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,071.52