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South Dakota rates for HCPCS 57107

Vaginectomy Prtl Rmvl Vag Wall & Paravaginal T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.62 / $1,313.62 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.66 / $2,220.02 / $3,804.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,186.27 / $3,596.32 / $4,513.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.26 / $2,421.17 / $2,840.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00