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South Dakota rates for HCPCS 57110

Vaginectomy Complete Removal Vaginal Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.18 / $816.18 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.94 / $1,379.34 / $2,358.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.39 / $2,227.54 / $2,808.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.88 / $1,493.53 / $1,756.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$326.74 / $326.74 / $326.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00