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South Dakota rates for HCPCS 15731

Forehead Flap W/Preservation Vascular Pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.02 / $1,091.32 / $7,424.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.76 / $1,091.32 / $1,406.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.23 / $2,553.89 / $3,192.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.88 / $1,605.09 / $2,938.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.02 / $2,552.78 / $8,336.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.00 / $2,583.86 / $3,929.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.27 / $2,463.59 / $3,038.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.74 / $1,861.41 / $2,189.76
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
$1,213.97 / $2,200.42 / $3,109.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.00 / $2,182.69 / $2,455.50