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South Dakota rates for HCPCS 15630

Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $457.09 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $912.01 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $794.33 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $933.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $691.83 / $1,148.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,023.29