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South Dakota rates for HCPCS 15822

Blepharoplasty Upper Eyelid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.67 / $457.65 / $457.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$3,570.00 / $3,570.00 / $3,570.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.79 / $672.70 / $1,157.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.00 / $1,074.66 / $1,913.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.31 / $732.21 / $892.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00