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South Dakota rates for HCPCS 56700

Partial hymenectomy or revision of hymenal ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.10 / $187.10 / $8,831.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.10 / $197.81 / $4,842.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.55 / $457.33 / $571.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.28 / $316.20 / $490.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.60 / $379.23 / $1,514.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $506.53 / $2,929.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.00 / $434.14 / $550.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.98 / $321.08 / $397.20
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
$220.60 / $386.04 / $544.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.10 / $455.40 / $473.60