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South Dakota rates for HCPCS 57065

Destruction Vaginal Lesions Extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.67 / $231.37 / $231.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.67 / $196.43 / $231.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.11 / $522.00 / $698.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.80 / $359.11 / $509.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.77 / $405.19 / $3,162.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.00 / $558.70 / $2,865.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.91 / $414.91 / $577.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.14 / $344.79 / $473.52
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
$228.77 / $396.56 / $616.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.70 / $432.70 / $568.50