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South Dakota rates for HCPCS 15878

Suction Assisted Lipectomy Upper Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.50 / $367.50 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.50 / $367.50 / $1,485.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.99 / $716.77 / $895.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.50 / $1,462.65 / $2,970.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.64 / $1,716.91 / $2,364.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.98 / $664.02 / $826.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.03 / $509.03 / $661.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,840.00 / $2,840.00 / $2,840.00