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South Dakota rates for HCPCS 57020

Colpocentesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.50 / $116.92 / $116.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.64 / $107.11 / $228.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.96 / $219.66 / $349.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.37 / $161.88 / $243.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.84 / $254.58 / $927.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $245.09 / $3,894.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.09 / $189.09 / $286.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.31 / $152.59 / $240.00
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
$119.11 / $190.47 / $304.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $182.80 / $286.20