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South Dakota rates for HCPCS 14061

Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.97 / $976.60 / $976.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.22 / $945.38 / $1,469.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.72 / $2,306.92 / $2,883.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.76 / $1,442.58 / $2,544.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.53 / $2,294.14 / $7,444.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.10 / $2,022.36 / $2,602.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.45 / $2,047.00 / $2,641.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.81 / $1,599.14 / $1,951.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.53 / $1,944.65 / $2,817.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.60 / $1,793.20 / $2,188.50