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South Dakota rates for HCPCS 15789

Chemical Peel Facial Dermal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.43 / $460.13 / $527.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.97 / $1,195.92 / $1,554.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.41 / $1,383.75 / $5,098.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.00 / $1,077.08 / $1,429.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.48 / $809.58 / $1,041.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.41 / $996.30 / $1,512.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.70 / $907.50 / $1,167.90