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South Dakota rates for HCPCS 56630

Vulvectomy, radical, partial;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.43 / $872.43 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.52 / $1,431.35 / $2,412.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.30 / $2,373.71 / $2,981.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.46 / $1,594.71 / $1,876.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$350.80 / $350.80 / $350.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00