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South Dakota rates for HCPCS 57111

Vaginectomy Compl Rmvl Vag Wall & Paravag Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.86 / $1,557.86 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.07 / $1,557.86 / $5,053.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,806.37 / $3,853.43 / $4,816.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.00 / $2,632.78 / $4,227.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.38 / $3,294.22 / $12,860.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,465.77 / $4,267.97 / $5,351.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,631.00 / $3,806.37 / $4,643.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.96 / $2,779.81 / $3,383.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.38 / $3,150.64 / $4,701.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,297.20 / $3,879.10 / $4,034.30