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South Dakota rates for HCPCS 13153

Repair Complx Eyelid/Nose/Ear/Lip Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.57 / $180.19 / $737.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $171.97 / $227.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.74 / $375.92 / $522.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.95 / $260.44 / $502.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.29 / $475.53 / $1,366.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $359.50 / $493.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.00 / $363.90 / $499.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.41 / $268.16 / $359.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.23 / $340.07 / $529.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.10 / $297.39 / $403.30