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South Dakota rates for HCPCS 15824

Rhytidectomy; forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.52 / $1,060.52 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.50 / $1,060.52 / $1,123.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,240.82 / $2,465.85 / $3,082.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.26 / $1,565.79 / $2,877.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.44 / $2,251.21 / $9,514.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.54 / $2,164.08 / $2,721.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.00 / $2,164.08 / $3,006.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.16 / $858.16 / $1,115.60
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
$1,179.21 / $1,977.26 / $3,075.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.50 / $1,494.70 / $1,554.50