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South Dakota rates for HCPCS 56442

Hymenotomy Simple Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.03 / $43.03 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.17 / $53.63 / $64.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $107.52 / $134.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.44 / $67.89 / $125.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.78 / $94.14 / $550.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $122.94 / $2,929.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.30 / $105.53 / $127.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $79.64 / $93.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.48 / $95.20 / $130.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $107.50 / $111.80