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South Dakota rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $85.55 / $107.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.88 / $108.54 / $138.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $209.35 / $610.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $145.56 / $199.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.39 / $144.69 / $194.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $175.27 / $271.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.90 / $148.00 / $217.60