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South Dakota rates for HCPCS 57023

I&D Vaginal Hematoma Non-Obstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.02 / $290.02 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.37 / $290.02 / $866.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.20 / $711.32 / $889.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.02 / $490.15 / $818.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.10 / $611.57 / $2,379.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.00 / $838.55 / $2,197.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.00 / $701.60 / $863.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.28 / $529.14 / $623.61
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
$363.10 / $561.79 / $873.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.70 / $715.00 / $743.60