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South Dakota rates for HCPCS 15877

Suction assisted lipectomy; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.25 / $656.25 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $49.00 / $656.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.24 / $1,280.06 / $1,600.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.25 / $1,032.83 / $2,611.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,936.00 / $3,425.33 / $4,717.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.89 / $1,188.08 / $1,400.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.07 / $909.07 / $1,181.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,350.00 / $3,350.00 / $3,350.00