go back

South Dakota rates for HCPCS 57130

Excision of vaginal septum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $213.80 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $309.03 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $346.74 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $371.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $346.74 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $524.81