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South Dakota rates for HCPCS 57107

Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,089.30 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,162.28 / $3,311.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,454.71 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53