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South Dakota rates for HCPCS 15730

Midface Flap W/Preservation Of Vascular Pedicles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.14 / $1,417.73 / $1,417.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.09 / $1,221.69 / $1,624.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.08 / $2,946.70 / $4,053.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.98 / $1,875.81 / $3,143.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.02 / $3,491.83 / $10,575.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,265.35 / $3,256.79 / $4,440.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.80 / $2,793.75 / $3,839.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.91 / $1,775.74 / $2,718.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.57 / $2,717.84 / $4,227.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.40 / $1,991.20 / $3,048.10