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South Dakota rates for HCPCS 15823

Blepharoplasty, upper eyelid; with excessive skin weighting down lid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.45 / $615.29 / $615.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,843.32 / $5,843.32 / $5,843.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.10 / $560.84 / $1,349.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,840.62 / $2,140.01 / $2,140.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.66 / $1,437.44 / $1,796.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.81 / $915.05 / $1,585.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.59 / $1,513.73 / $4,664.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.00 / $1,454.49 / $1,913.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.00 / $1,261.01 / $1,681.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.02 / $996.20 / $1,202.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.59 / $1,109.52 / $1,725.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.10 / $1,195.50 / $1,348.50