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South Dakota rates for HCPCS 57065

Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $229.09 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $331.13 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $380.19 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $407.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $371.54 / $562.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $562.34