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South Dakota rates for HCPCS 13153

Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $741.31 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $537.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $229.09 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $380.19 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $275.42 / $478.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $295.12 / $407.38