go back

South Dakota rates for HCPCS 56805

Clitoroplasty for intersex state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.63 / $1,051.63 / $1,051.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.46 / $1,051.63 / $3,194.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.29 / $2,569.46 / $3,211.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.73 / $1,777.25 / $3,014.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.90 / $2,466.50 / $9,976.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.00 / $2,868.20 / $3,625.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.00 / $2,547.29 / $3,143.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.52 / $1,924.65 / $2,264.15
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
$1,479.90 / $2,056.96 / $3,199.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.60 / $2,596.00 / $2,699.80