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South Dakota rates for HCPCS 51900

Clsr Vesicovaginal Fistul Aabdl Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.28 / $781.28 / $781.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.51 / $781.28 / $2,369.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.93 / $1,851.14 / $2,313.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.45 / $1,320.36 / $2,225.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.12 / $1,658.54 / $7,254.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.53 / $2,039.85 / $2,513.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.00 / $1,804.93 / $2,183.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.14 / $1,386.68 / $1,604.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.12 / $1,658.54 / $2,297.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.50 / $1,872.40 / $1,947.30