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South Dakota rates for HCPCS 15822

Blepharoplasty, upper eyelid;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $457.09 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $660.69 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $891.25 / $1,023.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26